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Organization
UNIVERSITY OF WASHINGTON
Active
Organization
UNIVERSITY OF WASHINGTON
Active
Other names
UW Dentists - Perio Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RUSSELL (MANAGER, PATIENT ACCOUNTS OFFICE)
(206) 616-8794
Entity
Organization
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 616-8794
Mailing address
1959 NE PACIFIC ST, P.O. BOX 357131, SEATTLE, WA 98195-0001
(206) 616-8794
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00009326
WA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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