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Organization
KELLEY M. WASHINGTON DDS,PS
Active
Organization
KELLEY M. WASHINGTON DDS,PS
Active
Other names
Washington Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY MICHAEL WASHINGTON DDS (PRESIDENT/DENTIST)
(206) 722-8211
Entity
Organization
Contact information
Practice address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Mailing address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9721
WA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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