Organization
LEONE VAUGHN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN FULLER (FINANCIAL COORDINATOR)
(206) 285-5000
Entity
Organization
Contact information
Practice address
945 ELLIOTT AVE W, STE 100, SEATTLE, WA 98119-3686
(206) 285-5000
Mailing address
945 ELLIOTT AVE W STE 100, SEATTLE, WA 98119-3686
(206) 285-5000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009047
WA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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