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720 Olive Way Suite 810 Seattle WA 98101-1878 | |
| (206) 628-0404 | |
| (206) 628-0024 |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 720 Olive Way, Seattle, Washington |
| Authorized Official Name and Position | Gerrarda Concepta O'beirne (PERIODONTIST) |
| Authorized Official Contact | 2066280404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 Olive Way Suite 810 Seattle WA 98101-1878 Ph: (206) 628-0404 | 720 Olive Way Suite 810 Seattle WA 98101-1878 Ph: (206) 628-0404 |
| NPI Number | 1548304033 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548304033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 7333 (Washington) | Primary |
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