Organization
LAKE WASHINGTON TECHNICAL COLLEGE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK MCWILLIAMS (VICE PRESIDENT)
(425) 739-8130
Entity
Organization
Contact information
Practice address
11605 132ND AVE NE, KIRKLAND, WA 98034-8505
(425) 739-8157
(425) 739-8292
Mailing address
11605 132ND AVE NE, KIRKLAND, WA 98034-8505
(425) 739-8157
(425) 739-8292
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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