Organization
THOMPSON.FERGUSON.PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANGOTTI (FINANCE DIRECTOR)
(509) 823-4480
Entity
Organization
Contact information
Practice address
10640 16TH AVE SW, SEATTLE, WA 98146-2076
(206) 315-9936
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
(509) 823-4488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009229
WA
122300000X
Dentist
DE00009414
WA
122300000X
Dentist
DE00010686
WA
122300000X
Dentist
DE60096080
WA
122300000X
Dentist
DE60232173
WA
122300000X
Dentist
DE60293839
WA
122300000X
Dentist
DE60400620
WA
122300000X
Dentist
DE60471711
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00009045
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60220488
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60377112
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60477207
WA
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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