Organization
DOUGLAS A SEYMOUR, DDS, PS
Active
Other names
Oak Tree Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A SEYMOUR DDS (OWNER)
(206) 363-4300
Entity
Organization
Contact information
Practice address
10004 AURORA AVE N, SUITE 14, SEATTLE, WA 98133-9349
(206) 363-4300
(206) 985-3862
Mailing address
10004 AURORA AVE N, SUITE 14, SEATTLE, WA 98133-9349
(206) 363-4300
(206) 985-3862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10218
DENTAL LICENSE
WA
01
—
6613
DENTAL LICENSE
WA
01
—
9383
DENTAL LICENSE
WA
Enumeration date
10/04/2006
Last updated
08/22/2020
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