Organization
DAVID J HARALSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HARALSON (OWNER/MD, DMD)
(206) 624-0852
Entity
Organization
Contact information
Practice address
509 OLIVE WAY STE 1331, SEATTLE, WA 98101-1743
(206) 624-0852
Mailing address
509 OLIVE WAY STE 1331, SEATTLE, WA 98101-1743
(206) 624-0852
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE60295571
WA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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