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Organization

DENTOLOGIE, PC

Active
Parent organization
DENTOLOGIE, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTOLOGIE, PC
Authorized official
MR. KENNETH NEIL SULLIVAN (DIRECTOR, RCM)
(615) 707-0786
Entity
Organization

Contact information

Practice address
1530 MELROSE AVE, SEATTLE, WA 98122-3608
(206) 586-8442
Mailing address
1259 S WABASH AVE, CHICAGO, IL 60605-2412
(312) 846-6752

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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