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Organization

STEPHEN MACGEORGE DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN M MACGEORGE DDS (OWNER)
(206) 546-4815
Entity
Organization

Contact information

Practice address
1207 N 200TH ST, SUITE 220, SHORELINE, WA 98133-3213
(206) 546-4815
(206) 546-2375
Mailing address
1207 N. 200TH ST., SUITE 220, SHORELINE, WA 98133
(206) 546-4815
(206) 546-2375

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5599
WA

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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