# ALEXANDER SHOR OR EASTLAKE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALEXANDER SHOR, DMD, MSD, PLLC
- **Other names:** Alexander Shor DMD, MSD, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568694867
- **Legal business name:** ALEXANDER SHOR, DMD, MSD, PLLC
- **Authorized official:** DR. ALEXANDER SHOR DMD, MSD (DENTIST)
- **Authorized official phone:** (206) 325-7456

## Contact information

- **Practice address:** 1500 FAIRVIEW AVENUE EAST, STE. \#300, SEATTLE, WA 98102
- **Practice address phone:** (206) 325-7456
- **Practice address fax:** (206) 323-6273
- **Mailing address:** 1500 FAIRVIEW AVENUE EAST, STE. \#300, SEATTLE, WA 98102
- **Mailing address phone:** (206) 325-7456
- **Mailing address fax:** (206) 323-6273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE9117 | WA | Yes |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 08/20/2009