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Individual

DR. XINGTIAN XU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PHD

Contact information

Practice address
10640 16TH AVE SW, SEATTLE, WA 98146-2076
(206) 315-9937
Mailing address
10640 16TH AVE SW, SEATTLE, WA 98146-2076
(206) 315-9937

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61081543
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR60951032
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/21/2019
Last updated
09/03/2020
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