| Banner Dental | |
|
8540 1st Ave Nw Ste. 8 Seattle WA 98117 | |
| (206) 801-3900 | |
| (206) 902-9877 |
| Full Name | Banner Dental |
|---|---|
| Speciality | Dentist |
| Location | 8540 1st Ave Nw Ste. 8, Seattle, Washington |
| Authorized Official Name and Position | Lael Banner (OWNER/ MEMBER LLC) |
| Authorized Official Contact | 2068013900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Dental 8540 1st Ave Nw Ste. 8 Seattle WA 98117 Ph: (206) 801-3900 | Banner Dental 8540 1st Ave Nw Ste. 8 Seattle WA 98117 Ph: (206) 801-3900 |
| NPI Number | 1447882725 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447882725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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