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Organization
DOUGLAS P. WALSH DDS
Active
Organization
DOUGLAS P. WALSH DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS P WALSH DDS (DENTIST)
(207) 762-8433
Entity
Organization
Contact information
Practice address
9801 17TH AVE SW, SEATTLE, WA 98106-2759
(206) 762-8433
Mailing address
9801 17TH AVE SW, SEATTLE, WA 98106-2759
(206) 762-8433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21287
LABOR & INDUSTRIES
WA
05
—
5562806
—
WA
01
—
788510
UNITED CONCORDIA
—
01
—
WA0505
REGENCE BLUE SHIELD RIDER
WA
Enumeration date
02/13/2007
Last updated
08/22/2020
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