Organization
PAC DENTAL INC
Active
Other names
Pacific Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN S LEE DDS (PRESIDENT)
(206) 447-8084
Entity
Organization
Contact information
Practice address
900 S JACKSON ST, 214, SEATTLE, WA 98104-3053
(206) 447-8084
(206) 223-0855
Mailing address
900 S JACKSON ST, 214, SEATTLE, WA 98104-3053
(206) 447-8084
(206) 223-0855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE9014
WA
Other
Enumeration date
11/04/2006
Last updated
08/22/2020
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