# VELLING DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447339486
- **Authorized official:** DR. JERRY VELLING DDS (MEMBER)
- **Authorized official phone:** (206) 767-3480

## Contact information

- **Practice address:** 1725 SW ROXBURY ST, SEATTLE, WA 98106-2752
- **Practice address phone:** (206) 767-3480
- **Mailing address:** 1725 SW ROXBURY ST, SEATTLE, WA 98106-2752
- **Mailing address phone:** (206) 767-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00007670 | WA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 09/16/2008