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Organization

LEONE AND VAUGHN ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN FULLER (FINANCIAL COORDINATOR)
(206) 285-5000
Entity
Organization

Contact information

Practice address
3131 E MADISON ST STE 200, SEATTLE, WA 98112-4248
(206) 285-5000
Mailing address
3131 E MADISON ST STE 200, SEATTLE, WA 98112-4248
(206) 285-5000

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009047
WA

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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