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Organization

SHAFEENA CHATUR DDS

Active
Other names
Ballard Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE BRIDGFORTH (ADMINISTRATOR)
(206) 355-3395
Entity
Organization

Contact information

Practice address
1400 NW MARKET ST STE 102, SEATTLE, WA 98107-3875
(206) 432-9321
(206) 428-9162
Mailing address
1400 NW MARKET ST STE 102, SEATTLE, WA 98107-3875
(206) 432-9321
(206) 428-9162

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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