Organization
LAURELHURST FAMILY DENTISTRY
Active
Other names
Laurelhurst Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA D MORTELL DMD (DENTIST/ OWNER)
(206) 456-0550
Entity
Organization
Contact information
Practice address
3216 NE 45TH PL STE 302, SEATTLE, WA 98105-4028
(206) 456-0550
Mailing address
3216 NE 45TH PL STE 302, SEATTLE, WA 98105-4028
(206) 456-0550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/07/2019
Last updated
02/07/2019
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