| A Kids Place, Too--dentistry for Children | |
|
2617 California Ave Sw Seattle WA 98116-2404 | |
| (206) 933-5437 | |
| Not Available |
| Full Name | A Kids Place, Too--dentistry for Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2617 California Ave Sw, Seattle, Washington |
| Authorized Official Name and Position | Lanette Mcintosh (REGIONAL OPERATIONS MANAGER) |
| Authorized Official Contact | 4253961011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Kids Place, Too--dentistry for Children 2617 California Ave Sw Seattle WA 98116-2404 Ph: (206) 933-5437 | A Kids Place, Too--dentistry for Children 2617 California Ave Sw Seattle WA 98116-2404 Ph: (206) 933-5437 |
| NPI Number | 1881241826 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881241826 | NPI | - | NPPES |
| 2028317 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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