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Organization

ORTHODONTIC ASSOCIATES OF MERCER ISLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WILLIAMS MCNEILL DDS, MS, PS (CORPORATE OFFICER - PRESIDENT)
(206) 232-9600
Entity
Organization

Contact information

Practice address
2717 80TH AVENUE SE, MERCER ISLAND, WA 98040
(206) 232-9600
(206) 232-2936
Mailing address
2717 80TH AVENUE SE, MERCER ISLAND, WA 98040
(206) 232-9600
(206) 232-2936

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3254-WA
WA

Other

Enumeration date
09/04/2009
Last updated
09/04/2009
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