Individual
DAT PHUC PATRICK GIAP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1212 S MAIN ST, STE B, SEATTLE, WA 98144-2087
(206) 322-1861
Mailing address
1212 S MAIN ST, STE B, SEATTLE, WA 98144-2087
(206) 322-1861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5007299
—
WA
Enumeration date
06/16/2005
Last updated
07/09/2007
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