Individual
ANTHONY R MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1959 NE PACIFIC ST, DEPT OF ORAL MEDICINE, SEATTLE, WA 98195
(206) 543-3194
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-3194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1439
AK
122300000X
Dentist
Primary
DR 60389407
WA
1223G0001X
General Practice Dentistry
D4268
ID
Other
Enumeration date
03/08/2010
Last updated
07/23/2013
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