Organization
JAN B NORVOLD DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN B NORVOLD DDS (DENTIST)
(206) 725-3667
Entity
Organization
Contact information
Practice address
5425 RAINIER AVE S, SEATTLE, WA 98118-2455
(206) 725-3667
(206) 725-3838
Mailing address
5425 RAINIER AVE S, SEATTLE, WA 98118-2455
(206) 725-3667
(206) 725-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00003720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5322607
—
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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