Individual
BODEN NICHOLAS SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1830 BROADWAY, SEATTLE, WA 98122
(206) 283-9278
Mailing address
14650 NE 32ND ST APT A14, BELLEVUE, WA 98007-3688
(253) 929-9023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61319923
WA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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