Organization
RONALD L.WINN DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L WINN DDS (PRESIDENT)
(630) 631-2407
Entity
Organization
Contact information
Practice address
3295 SW AVALON WAY, SEATTLE, WA 98126
(630) 631-2407
Mailing address
3295 SW AVALON WAY, SEATTLE, WA 98126-2792
(630) 631-2407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00008000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00008000
DENTIST
WA
Enumeration date
11/28/2016
Last updated
11/28/2016
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