Individual
DR. DAN MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4700 42ND AVE SW STE 460, SEATTLE, WA 98116-4589
(206) 767-4851
Mailing address
23200 SE 267TH PL, MAPLE VALLEY, WA 98038-6830
(425) 765-7019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS40679
CA
122300000X
Dentist
Primary
DE00007572
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5028535
—
WA
Enumeration date
11/20/2006
Last updated
03/07/2023
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