Individual
DR. A.J. GOLLOFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11285 LAKE CITY WAY NE, SEATTLE, WA 98125-6718
(206) 363-7200
(206) 367-8869
Mailing address
11285 LAKE CITY WAY NE, SEATTLE, WA 98125-6718
(206) 363-7200
(206) 367-8869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006208
WA
Other
Enumeration date
04/07/2006
Last updated
07/14/2016
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