Organization
KENT DE VIGNE, DDS, PLLC
Active
Other names
Pike Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT SHERMAN DE VIGNE DDS, MPH (DENTIST /OWNER)
(206) 625-1267
Entity
Organization
Contact information
Practice address
93 PIKE ST, SUITE 309, SEATTLE, WA 98101-2052
(206) 625-1267
(206) 625-9017
Mailing address
93 PIKE ST, SUITE 309, SEATTLE, WA 98101-2052
(206) 625-1267
(206) 625-9017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7034
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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