Organization
NEWCASTLE DENTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY STRANGE (OWNER)
(425) 644-1770
Entity
Organization
Contact information
Practice address
12835 NEWCASTLE WAY, SUITE 304, NEWCASTLE, WA 98056-1316
(425) 644-1770
(425) 644-1912
Mailing address
12835 NEWCASTLE WAY, SUITE 304, NEWCASTLE, WA 98056-1316
(425) 644-1770
(425) 644-1912
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60216300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356571756
TYPE 1 NPI
WA
Enumeration date
02/25/2014
Last updated
02/25/2014
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