Organization
SOUTH SEATTLE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY LAU (OWNER)
(206) 772-6068
Entity
Organization
Contact information
Practice address
12616 RENTON AVE S, SEATTLE, WA 98178-3711
(206) 772-6068
(206) 772-1231
Mailing address
12616 RENTON AVE S, SEATTLE, WA 98178-3711
(206) 772-6068
(206) 772-1231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5054291
—
WA
Enumeration date
09/06/2009
Last updated
09/06/2009
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