| Carson Calderwood Pllc Dba Ballard Dentistry | |
|
5456 Leary Ave Nw Seattle WA 98107-4068 | |
| (206) 781-9204 | |
| Not Available |
| Full Name | Carson Calderwood Pllc Dba Ballard Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5456 Leary Ave Nw, Seattle, Washington |
| Authorized Official Name and Position | Carson Calderwood (SOLE OWNER) |
| Authorized Official Contact | 2067819204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Calderwood Pllc Dba Ballard Dentistry 7152 Woodside Pl Sw Seattle WA 98136-2068 Ph: (425) 736-3631 | Carson Calderwood Pllc Dba Ballard Dentistry 5456 Leary Ave Nw Seattle WA 98107-4068 Ph: (206) 781-9204 |
| NPI Number | 1720677297 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720677297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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