Organization
LEONE AND VAUGHN ORTHODONTICS
Active
Organization
LEONE AND VAUGHN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN FULLER (FINACIAL COORDINATOR)
(206) 285-5000
Entity
Organization
Contact information
Practice address
600 108TH AVE NE STE 120, BELLEVUE, WA 98004-5110
(425) 450-1000
Mailing address
600 108TH AVE NE, STE 120, BELLEVUE, WA 98004
(425) 450-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009047
WA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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