Organization
UNIVERSITY OF WASHINGTON -
Active
Other names
University of Washing - Pedo
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O'NEAL (ASSOCIATE DEAN, CLINICAL SERVICES)
(206) 616-8794
Entity
Organization
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 616-8794
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 616-8794
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00008754
WA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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