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Organization
KENT DE VIGNE, DDS, PLLC
Active
Organization
KENT DE VIGNE, DDS, PLLC
Active
Other names
Pike Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT SHERMAN DE VIGNE DDS, MPH (DENTIST /OWNER)
(206) 625-1267
Entity
Organization
Contact information
Practice address
93 PIKE ST, SUITE 309, SEATTLE, WA 98101-2052
(206) 625-1267
(206) 625-9017
Mailing address
93 PIKE ST, SUITE 309, SEATTLE, WA 98101-2052
(206) 625-1267
(206) 625-9017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7034
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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