Organization
PUGET SOUND SEDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON MARTIN DDS (OWNER)
(206) 790-0405
Entity
Organization
Contact information
Practice address
5304 WALLINGFORD AVE N, SEATTLE, WA 98103-6147
(206) 790-0405
Mailing address
5304 WALLINGFORD AVE N, SEATTLE, WA 98103-6147
(206) 790-0405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE10114
WA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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