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Individual

GARY R FELDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MD PS

Contact information

Practice address
1221 MADISON ST, SUITE 1116, SEATTLE, WA 98104-3588
(206) 215-2088
Mailing address
1221 MADISON ST, SUITE 1116, SEATTLE, WA 98104-3588
(206) 215-2088

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00004338
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD00017630
WA

Other

Enumeration date
09/22/2006
Last updated
08/09/2017
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