Individual
DR. MICHAEL J SCOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 PELLY AVE N, RENTON, WA 98055-1700
(425) 228-6444
Mailing address
22943 SE 43RD PL, SAMMAMISH, WA 98075-6276
(425) 830-4738
(425) 392-3439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009010
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5042254
—
WA
Enumeration date
01/04/2007
Last updated
07/08/2007
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