Organization
CARSON CALDERWOOD PLLC DBA BALLARD DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON CALDERWOOD DDS (SOLE OWNER)
(206) 781-9204
Entity
Organization
Contact information
Practice address
5456 LEARY AVE NW, SEATTLE, WA 98107-4068
(206) 781-9204
Mailing address
7152 WOODSIDE PL SW, SEATTLE, WA 98136-2068
(425) 736-3631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
12/17/2021
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