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Organization
GREEN LAKE FACIAL SURGERY PLLC
Active
Organization
GREEN LAKE FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHANE EPSTEIN DDS (OWNER)
(120) 696-3906
Entity
Organization
Contact information
Practice address
7900 E GREEN LAKE DR N, SUITE 302, SEATTLE, WA 98103-4800
(206) 693-3906
Mailing address
7900 E GREEN LAKE DR N, SUITE 302, SEATTLE, WA 98103-4800
(206) 693-3906
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE 60277222
WA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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