Individual
DR. KEN JACK MCNABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7711 16TH AVE NE, SEATTLE, WA 98115-4332
(206) 718-1918
Mailing address
7711 16TH AVE NE, SEATTLE, WA 98115-4363
(206) 718-1918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009142
WA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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