Individual
MR. MICHAEL KEVIN JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DE00008835
Contact information
Practice address
4915 25TH AVE NE, SUITE 205, SEATTLE, WA 98105
(206) 524-1600
(206) 254-1603
Mailing address
4915 25TH AVE NE, SUITE 205, SEATTLE, WA 98105
(206) 524-1600
(206) 254-1603
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DE00008835
WA
Other
Enumeration date
11/02/2010
Last updated
01/23/2020
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