| Shannon Wilson Dds Ps | |
|
11730 15th Ave Ne Seattle WA 98125-5026 | |
| (206) 920-5430 | |
| Not Available |
| Full Name | Shannon Wilson Dds Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11730 15th Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | Shannon Wilson (OWNER) |
| Authorized Official Contact | 2069205430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Wilson Dds Ps 18529 Linden Ave N Shoreline WA 98133-3926 Ph: (206) 920-5430 | Shannon Wilson Dds Ps 11730 15th Ave Ne Seattle WA 98125-5026 Ph: (206) 920-5430 |
| NPI Number | 1710794979 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710794979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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