| |
88 Spring St Ste 100 Seattle WA 98104-1099 | |
(206) 624-8500 | |
(206) 623-4768 |
Full Name | |
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Speciality | Dentist |
Location | 88 Spring St Ste 100, Seattle, Washington |
Authorized Official Name and Position | Jessica Janis Emard (OWNER) |
Authorized Official Contact | 2066248500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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88 Spring St Ste 100 Seattle WA 98104-1099 Ph: (206) 624-8500 | 88 Spring St Ste 100 Seattle WA 98104-1099 Ph: (206) 624-8500 |
NPI Number | 1588009989 |
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Provider Enumeration Date | 04/30/2013 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
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1588009989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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