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Organization

ALEXANDER SHOR OR EASTLAKE DENTAL

Active
Parent organization
ALEXANDER SHOR, DMD, MSD, PLLC
Other names
Alexander Shor DMD, MSD, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALEXANDER SHOR, DMD, MSD, PLLC
Authorized official
DR. ALEXANDER SHOR DMD, MSD (DENTIST)
(206) 325-7456
Entity
Organization

Contact information

Practice address
1500 FAIRVIEW AVENUE EAST, STE. #300, SEATTLE, WA 98102
(206) 325-7456
(206) 323-6273
Mailing address
1500 FAIRVIEW AVENUE EAST, STE. #300, SEATTLE, WA 98102
(206) 325-7456
(206) 323-6273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE9117
WA

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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