Organization
MARK STAHL, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN STAHL DDS (PRESIDENT, SECRETARY, TREASURER)
(206) 522-0466
Entity
Organization
Contact information
Practice address
3216 NE 45TH PL, SUITE 213, SEATTLE, WA 98105-4093
(206) 522-0466
(206) 522-0492
Mailing address
3216 NE 45TH PL, SUITE 213, SEATTLE, WA 98105-4093
(206) 522-0466
(206) 522-0492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60076890
WA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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