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11524 15th Ave Ne Ste A Seattle WA 98125-6357 | |
| (206) 367-3700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11524 15th Ave Ne Ste A, Seattle, Washington |
| Authorized Official Name and Position | Brian Sohn (PRESIDENT) |
| Authorized Official Contact | 2067450161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11524 15th Ave Ne Ste A Seattle WA 98125-6357 Ph: (206) 367-3700 | 11524 15th Ave Ne Ste A Seattle WA 98125-6357 Ph: (206) 367-3700 |
| NPI Number | 1295087328 |
|---|---|
| Provider Enumeration Date | 10/13/2012 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295087328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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