Individual
PHAT CHAN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
720 8TH AVE S, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 962-3297
Mailing address
720 8TH AVE S, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 962-3297
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61356607
WA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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