| Washington Dental Clinic | |
|
4543 Rainier Ave S Seattle WA 98118-1656 | |
| (206) 722-8211 | |
| (206) 722-3249 |
| Full Name | Washington Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4543 Rainier Ave S, Seattle, Washington |
| Authorized Official Name and Position | Kelley Michael Washington (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2067228211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dental Clinic 4543 Rainier Ave S Seattle WA 98118-1656 Ph: (206) 722-8211 | Washington Dental Clinic 4543 Rainier Ave S Seattle WA 98118-1656 Ph: (206) 722-8211 |
| NPI Number | 1174826937 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174826937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9721 (Washington) | Primary |
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