Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Federal Way Dental, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (CEO)
(206) 788-3203
Entity
Organization
Contact information
Practice address
31405 18TH AVE S, FEDERAL WAY, WA 98003-5433
(253) 681-6620
(253) 681-6648
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076704
—
WA
Enumeration date
10/13/2016
Last updated
01/31/2025
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