# CHRISTINE M TWEEDY DDS MSD PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westside Children's Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104147057
- **Authorized official:** DR. CHRISTINE M TWEEDY DDS MSD (OWNER)
- **Authorized official phone:** (206) 937-6481

## Contact information

- **Practice address:** 4520 42ND AVE SW, \#24, SEATTLE, WA 98116-4240
- **Practice address phone:** (206) 937-6481
- **Practice address fax:** (206) 937-7043
- **Mailing address:** 4520 42ND AVE SW, \#24, SEATTLE, WA 98116-4240
- **Mailing address phone:** (206) 937-6481
- **Mailing address fax:** (206) 937-7043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8359 | WA | Yes |
| 1223G0001X | General Practice Dentistry | 8359 | WA | — |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5031596 | — | WA |