| Pac Dental Inc | |
|
900 S Jackson St 214 Seattle WA 98104-3053 | |
| (206) 447-8084 | |
| (206) 223-0855 |
| Full Name | Pac Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 S Jackson St, Seattle, Washington |
| Authorized Official Name and Position | Justin S Lee (PRESIDENT) |
| Authorized Official Contact | 2064478084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pac Dental Inc 900 S Jackson St 214 Seattle WA 98104-3053 Ph: (206) 447-8084 | Pac Dental Inc 900 S Jackson St 214 Seattle WA 98104-3053 Ph: (206) 447-8084 |
| NPI Number | 1508945908 |
|---|---|
| Provider Enumeration Date | 11/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508945908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE9014 (Washington) | Primary |
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