Organization
R. DAVID MTCHELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID MITCHELL DDS (OWNER/DENTIST)
(206) 242-4080
Entity
Organization
Contact information
Practice address
15721 1ST AVE S, BURIEN, WA 98148-1210
(206) 242-4080
(206) 242-4680
Mailing address
15721 1ST AVE S, BURIEN, WA 98148-1210
(206) 242-4080
(206) 242-4680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5115
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003998154
NPI #
WA
Enumeration date
10/28/2008
Last updated
10/28/2008
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