Organization
SCCA-ORAL MEDICINE
Active
Other names
University Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND L. TRUELOVE DDS, MSD (CHAIR & PROFESSOR)
(206) 616-8794
Entity
Organization
Contact information
Practice address
825 EASTLAKE AVE E, SUITE G6900, SEATTLE, WA 98109-4405
(206) 288-1333
(206) 288-1332
Mailing address
PO BOX 357131, SEATTLE, WA 98195-7131
(206) 616-8794
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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