Organization
THOMPSON.FERGUSON.PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANGOTTI (FINANCE DIRECTOR)
(509) 823-4480
Entity
Organization
Contact information
Practice address
10640 16TH AVE SW, SEATTLE, WA 98146-2076
(206) 315-9937
(206) 241-4975
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009229
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60220488
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60477207
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861729063
NPI
WA
01
—
1881924520
NPI
WA
05
—
2003693
—
WA
Enumeration date
07/28/2015
Last updated
07/28/2015
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