|
| |
|
4701 Midvale Ave N Seattle WA 98103-6641 | |
| (206) 547-5647 | |
| (206) 545-9291 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4701 Midvale Ave N, Seattle, Washington |
| Authorized Official Name and Position | Benjamin L Chang (PRESIDENT) |
| Authorized Official Contact | 2065475647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4701 Midvale Ave N Seattle WA 98103-6641 Ph: (206) 547-5647 | 4701 Midvale Ave N Seattle WA 98103-6641 Ph: (206) 547-5647 |
| NPI Number | 1851457428 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851457428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE8374 (Washington) | Primary |
Gile, Nov, Fernyough Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Lenora St, Suite 216, Seattle, WA 98121 Phone: 206-402-5490 | |
Tverskoy Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Sw Admiral Way, Seattle, WA 98116 Phone: 206-935-2632 | |
Guerrero & Song Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W. Harrison Street, Suite #150, North Tower, Seattle, WA 98119 Phone: 206-284-4412 | |
Wally W Kegel Dds Msd Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Olive Way, Suite 627, Seattle, WA 98101 Phone: 206-682-9269 Fax: 206-624-4140 | |