# DIANE MCINTYRE DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wallingford Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790998151
- **Authorized official:** DIANE R. MCINTYRE DDS (OWNER)
- **Authorized official phone:** (206) 633-4007

## Contact information

- **Practice address:** 3941 WALLINGFORD AVE N, SEATTLE, WA 98103-8247
- **Practice address phone:** (206) 633-4007
- **Practice address fax:** (206) 633-2504
- **Mailing address:** 3941 WALLINGFORD AVE N, SEATTLE, WA 98103-8247
- **Mailing address phone:** (206) 633-4007
- **Mailing address fax:** (206) 633-2504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5288 | WA | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 05/24/2011