Organization
UW DENTISTS - FACULTY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RUSSELL (MANAGER, PATIENT ACCOUNTS)
(206) 616-8794
Entity
Organization
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 616-8794
(206) 616-9520
Mailing address
1959 NE PACIFIC ST, P.O. BOX 357131, SEATTLE, WA 98195-0001
(206) 616-8794
(206) 616-9520
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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