Organization
BALLINGER DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLEIMAN SOLTANI D.D.S. (DENTIST)
(206) 363-0401
Entity
Organization
Contact information
Practice address
20036 19TH AVE NE, SHORELINE, WA 98155-1211
(206) 363-0401
(206) 363-0409
Mailing address
20036 19TH AVE NE, SHORELINE, WA 98155-1211
(206) 363-0401
(206) 363-0409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7090
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5030820
—
WA
Enumeration date
05/22/2007
Last updated
08/22/2020
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