Individual
DR. MICHAEL BEVERLY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Mailing address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55157-05
—
WA
01
—
5517
WASHINGTON DENTAL SERVICE
WA
Enumeration date
03/12/2007
Last updated
07/08/2007
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