Individual
MICHAEL ALLAN MACINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
336 228TH AVE NE, SUITE 200, SAMMAMISH, WA 98074
(425) 391-8830
(425) 391-8857
Mailing address
336 228TH AVE NE, SUITE 200, SAMMAMISH, WA 98074
(425) 391-8830
(425) 391-8857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009566
WA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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