# KARI D CHELLIS RDH DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMILE SECRETS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619357514
- **Authorized official:** KAREN D CHELLIS DDS (OWNER)
- **Authorized official phone:** (206) 935-5522

## Contact information

- **Practice address:** 4700 42ND AVE SW, STE 555, SEATTLE, WA 98116-4591
- **Practice address phone:** (206) 935-5522
- **Practice address fax:** (206) 932-4577
- **Mailing address:** 4700 42ND AVE SW, STE 555, SEATTLE, WA 98116-4591
- **Mailing address phone:** (206) 935-5522
- **Mailing address fax:** (206) 932-4577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00006850 | WA | Yes |

## Other

- **Enumeration date:** 06/05/2015
- **Last updated:** 06/05/2015