Individual
RUTH WOLDEMICAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5126 25TH AVE NE, SEATTLE, WA 98105-4121
(206) 523-6520
Mailing address
5126 25TH AVE NE, SEATTLE, WA 98105-4121
(206) 523-6520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009334
WA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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