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1448 Nw Market Street Suite 230 Seattle WA 98107 | |
| (206) 783-9672 | |
| (206) 784-4812 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1448 Nw Market Street, Seattle, Washington |
| Authorized Official Name and Position | Elizabeth A Kutcipal (OWNER) |
| Authorized Official Contact | 2067839672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1448 Nw Market Street Suite 230 Seattle WA 98107 Ph: (206) 783-9672 | 1448 Nw Market Street Suite 230 Seattle WA 98107 Ph: (206) 783-9672 |
| NPI Number | 1053875096 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053875096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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