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2507 N 45th St Seattle WA 98103-6909 | |
| (206) 633-4035 | |
| (206) 547-9706 |
| Full Name | |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2507 N 45th St, Seattle, Washington |
| Authorized Official Name and Position | Joan Kuo (OWNER) |
| Authorized Official Contact | 4252475678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2507 N 45th St Seattle WA 98103-6909 Ph: (206) 633-4035 | 2507 N 45th St Seattle WA 98103-6909 Ph: (206) 633-4035 |
| NPI Number | 1760829501 |
|---|---|
| Provider Enumeration Date | 06/03/2013 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760829501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 60160952 (Washington) | Primary |
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