| Facial Dynamics International | |
|
3720 California Ave Sw Seattle WA 98116-3754 | |
| (206) 938-1113 | |
| (206) 937-7395 |
| Full Name | Facial Dynamics International |
|---|---|
| Speciality | Dentist |
| Location | 3720 California Ave Sw, Seattle, Washington |
| Authorized Official Name and Position | Robert Michael Keenan (CEO) |
| Authorized Official Contact | 2069381113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Dynamics International 3720 California Ave Sw Seattle WA 98116-3754 Ph: (206) 938-1113 | Facial Dynamics International 3720 California Ave Sw Seattle WA 98116-3754 Ph: (206) 938-1113 |
| NPI Number | 1104910447 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104910447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 025103 (Washington) | Primary |
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