Individual
DR. PHILIP A WALCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9730 3RD AVE NE STE 105, SEATTLE, WA 98115-2023
(206) 526-1985
(206) 526-0466
Mailing address
9730 3RD AVE NE STE 105, SEATTLE, WA 98115-2023
(425) 350-8479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61157550
WA
Other
Enumeration date
07/01/2021
Last updated
06/16/2025
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