Organization
GANNON B. STAHL DDS PC
Active
Other names
Pineview Aesthetic & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANNON BLAKE STAHL DDS (OWNER)
(425) 649-0800
Entity
Organization
Contact information
Practice address
14730 NE 8TH ST, STE. 105, BELLEVUE, WA 98007-4116
(425) 649-0800
(425) 649-0806
Mailing address
14730 NE 8TH ST, STE. 105, BELLEVUE, WA 98007-4116
(425) 649-0800
(425) 649-0806
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010985
WA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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