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Organization
AJ GOLLOFON DDS PS
Active
Organization
AJ GOLLOFON DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJ GOLLOFON (PRESIDENT)
(206) 363-7200
Entity
Organization
Contact information
Practice address
11285 LAKE CITY WAY NE, SEATTLE, WA 98125
(206) 363-7200
(206) 367-6689
Mailing address
11285 LAKE CITY WAY NE, SEATTLE, WA 98125-6718
(206) 363-7200
(206) 367-8869
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00006208
WA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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