Organization
WEDGWOOD SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMMI HANSEN (OFFICE MANAGER)
(206) 525-6636
Entity
Organization
Contact information
Practice address
8014 35TH AVE NE, SEATTLE, WA 98115-4815
(206) 525-6636
(206) 525-4469
Mailing address
8014 35TH AVE NE, SEATTLE, WA 98115-4815
(206) 525-6636
(206) 525-4469
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60231280
WA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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