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Organization

FACIAL DYNAMICS INTERNATIONAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT MICHAEL KEENAN DDS (CEO)
(206) 938-1113
Entity
Organization

Contact information

Practice address
3720 CALIFORNIA AVE SW, SEATTLE, WA 98116-3754
(206) 938-1113
(206) 937-7395
Mailing address
3720 CALIFORNIA AVE SW, SEATTLE, WA 98116-3754
(206) 938-1113
(206) 937-7395

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
025103
WA

Other

Enumeration date
10/03/2006
Last updated
11/20/2008
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