Organization
G. B. STAHL, DDS, PLLC
Active
Parent organization
GANNON B. STAHL DDS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GANNON B. STAHL DDS PC
Authorized official
DR. GANNON STAHL DDS (OWNER)
(425) 641-3668
Entity
Organization
Contact information
Practice address
14030 NE 24TH ST, SUITE 100, BELLEVUE, WA 98007
(425) 641-3668
(425) 747-7611
Mailing address
14030 NE 24TH ST, SUITE 100, BELLEVUE, WA 98007
(425) 641-3668
(425) 747-7611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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