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Organization
JASON PEHLING DDS MS PC
Active
Organization
JASON PEHLING DDS MS PC
Active
Other names
TMJ Orofacial Disorders Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P PEHLING DDS MS (PRESIDENT)
(206) 363-8240
Entity
Organization
Contact information
Practice address
2111 N NORTHGATE WAY, STE 221, SEATTLE, WA 98133-9018
(206) 363-8240
(206) 363-8301
Mailing address
2111 N NORTHGATE WAY, STE 221, SEATTLE, WA 98133
(206) 363-8240
(206) 363-8301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008992
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47570
PREMERA DENTAL
WA
01
—
93200
REGENCE
WA
01
—
SB930
PREMERA MEDICAL
WA
Enumeration date
05/23/2006
Last updated
04/25/2012
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