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Organization

ALLAN D. MINAHAN, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLAN DAVID MINAHAN DDS (DENTIST)
(206) 550-3718
Entity
Organization

Contact information

Practice address
17171 BOTHELL WAY NE, LAKE FOREST PARK, WA 98155-4204
(206) 365-5454
Mailing address
16315 48TH AVE W, EDMONDS, WA 98026-4809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60106555
WA

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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