Organization
PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY TIMOTHY BEAN DDS (OWNER)
(425) 214-3960
Entity
Organization
Contact information
Practice address
9004 W SHOREWOOD DR, APT 519, MERCER ISLAND, WA 98040-3245
(425) 214-3960
Mailing address
9004 W SHOREWOOD DR, APT 519, MERCER ISLAND, WA 98040-3245
(425) 214-3960
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
GA60587955
WA
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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