Individual
LUKE ST. MARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17900 TALBOT RD S, STE #103, RENTON, WA 98055-8212
(425) 271-1727
Mailing address
10741 INTERLAKE AVE N, SEATTLE, WA 98133-8907
(425) 271-1727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60576836
WA
Other
Enumeration date
07/07/2015
Last updated
12/31/2019
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