Individual
DR. TAR C AW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1959 NE PACIFIC ST, UW D770 HSB, BOX 357456, SEATTLE, WA 98195-7456
(206) 543-5948
(206) 543-7783
Mailing address
17120 13TH AVE NW, SHORELINE, WA 98177-3835
(206) 542-2746
(206) 543-7783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008955
WA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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