Organization
VITAL KIDS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HATHA GBEDAWO ND (OWNER/ MANAGER/ MEMBER)
(206) 518-8938
Entity
Organization
Contact information
Practice address
5122 25TH AVE NE, SEATTLE, WA 98105-4121
(206) 518-8938
Mailing address
5122 25TH AVE NE, SEATTLE, WA 98105-4121
(206) 518-8938
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NT00001229
WA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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