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Organization
AHDUT BEAN PLLC
Active
Organization
AHDUT BEAN PLLC
Active
Other names
Green Leaf Dental, Green Leaf Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONATAN NIR AHDUT DDS (DENTIST/OWNER)
(253) 426-5821
Entity
Organization
Contact information
Practice address
4219 S OTHELLO ST STE 105D, SEATTLE, WA 98118-3873
(206) 316-2351
Mailing address
4219 S OTHELLO ST STE 105D, SEATTLE, WA 98118-3873
(206) 316-2351
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60479557
WA
Other
Enumeration date
06/27/2018
Last updated
06/11/2019
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