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Organization
DERICK W. HAHN D.D.S., PLLC
Active
Organization
DERICK W. HAHN D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERICK WAYNE HAHN D.D.S. (DENTIST)
(206) 778-0592
Entity
Organization
Contact information
Practice address
1107 SW GRADY WAY, SUITE 200, RENTON, WA 98057-5217
(425) 226-9270
(425) 254-1129
Mailing address
720 S 38TH CT, RENTON, WA 98055-5894
(206) 778-0592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60035932
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699929167
TYPE 1 NPI NUMBER
WA
Enumeration date
05/14/2013
Last updated
05/14/2013
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