| Beatty And Cottam Pllc | |
|
15515 3rd Ave Sw #e Burien WA 98166-2553 | |
| (206) 248-3035 | |
| (206) 248-1463 |
| Full Name | Beatty And Cottam Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 15515 3rd Ave Sw, Burien, Washington |
| Authorized Official Name and Position | Lucas Robert Beatty (OWNER/PARTNER) |
| Authorized Official Contact | 2062483035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beatty And Cottam Pllc 15515 3rd Ave Sw #e Burien WA 98166-2553 Ph: (206) 248-3035 | Beatty And Cottam Pllc 15515 3rd Ave Sw #e Burien WA 98166-2553 Ph: (206) 248-3035 |
| NPI Number | 1275836801 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275836801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE60172592 (Washington) | Primary |
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