Organization
SEATTLE CENTRAL COMMUNITY COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GEORGE JURICH DMD (CLINIC SUPERVISOR)
(206) 344-4423
Entity
Organization
Contact information
Practice address
2120 S JACKSON ST, SEATTLE, WA 98144-2219
(206) 344-4423
Mailing address
2120 S JACKSON ST, SEATTLE, WA 98144-2219
(206) 344-4423
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
DE00004630
WA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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