# LAURA CHASE DDS PS

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

## Provider details

- **NPI number:** 1578667663
- **Authorized official:** LAURA LYNN CHASE DDS (OWNER)
- **Authorized official phone:** (206) 781-2501

## Contact information

- **Practice address:** 6319 24TH AVE NW, SEATTLE, WA 98107-2423
- **Practice address phone:** (206) 781-2501
- **Practice address fax:** (206) 781-5079
- **Mailing address:** 6319 24TH AVE NW, SEATTLE, WA 98107-2423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00007726 | WA | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 08/22/2020
