Organization
GARY R FELDMAN DDS MD PS
Active
Other names
Gary R Feldman MD DDS PS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R FELDMAN DDS MD PS (PRESIDENT)
(206) 215-2088
Entity
Organization
Contact information
Practice address
1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
(206) 215-2088
(206) 215-2087
Mailing address
1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
(206) 215-2088
(206) 215-2087
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17630
WA
261Q00000X
Clinic/Center
17630
WA
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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