Organization · NPI-2
A Dental & Denture Associates, LLC
Denturist · Seattle, WA
NPI number1861538639
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861538639
- Entity type
- Organization (NPI-2)
- Legal business name
- A Dental & Denture Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DN00000121 | WA | Yes |
Other names
- Northgate Denture Center (Doing Business As)
Practice location
11540 15th Ave NeSeattle, WA 98125-6322
Phone 206-440-1500 · Fax 206-440-1501
Mailing address
11540 15th Ave NeSeattle, WA 98125-6322
Phone 206-440-1500 · Fax 206-440-1501
Authorized official
Angelica Patricia Collantes Summer
Dpd
2064401500
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