Individual
DR. DIANNE M GAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(800) 329-8387
Mailing address
6522 4TH AVE NE APT 16, SEATTLE, WA 98115-6484
(860) 796-5963
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
61185957
WA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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