Organization
CLOVERDALE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FUJII D.D.S. (OWNER)
(206) 762-2337
Entity
Organization
Contact information
Practice address
1415 S CLOVERDALE ST, SEATTLE, WA 98108-4826
(206) 762-2337
(206) 762-0344
Mailing address
1415 S CLOVERDALE ST, SEATTLE, WA 98108-4826
(206) 762-2337
(206) 762-0344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008520
WA
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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