Organization
SEA MAR SPECIALTY DENTAL GROUP
Active
Parent organization
SEA-MAR COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEA-MAR COMMUNITY HEALTH CENTER
Authorized official
KRISTINA HOESCHEN DO (ADMINISTRATION DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
2000 116TH AVE NE, BELLEVUE, WA 98004-3047
(425) 998-5090
(425) 998-5099
Mailing address
1040 S HENDERSON ST, SEATTLE, WA 98108-4720
(206) 763-5277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
174400000X
Specialist
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
09/12/2017
Last updated
03/17/2018
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