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Organization

KELLEY M. WASHINGTON DDS,PS

Active
Other names
Washington Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLEY MICHAEL WASHINGTON DDS (PRESIDENT/DENTIST)
(206) 722-8211
Entity
Organization

Contact information

Practice address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Mailing address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9721
WA

Other

Enumeration date
12/15/2010
Last updated
12/15/2010
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