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Pacific Northwest Dental Anesthesia Services Llc
Dentist Anesthesiologist in Mercer Island, Washington
NPI 1003284134

Pacific Northwest Dental Anesthesia Services Llc is a Dentist Anesthesiologist based in Mercer Island, WA and is specialized in Dentist Anesthesiologist. Pacific Northwest Dental Anesthesia Services Llc practices in Mercer Island, WA. The NPI Number for Pacific Northwest Dental Anesthesia Services Llc is 1003284134 and holds a License No. GA60587955 (Washington).

The current practice location address for Pacific Northwest Dental Anesthesia Services Llc is 9004 W Shorewood Dr, Mercer Island, WA and can be reached out via phone at 425-214-3960.

Location: 9004 W Shorewood Dr, Mercer Island, WA, 98040-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003284134
Provider Name
Pacific Northwest Dental Anesthesia Services Llc
Credential
Provider Entity Type
Organization
Address
9004 W Shorewood Dr, Mercer Island, WA, 98040-3245
Phone Number
425-214-3960
Fax Number
Provider Enumeration Date
09/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9004 W Shorewood Dr
City
Mercer Island
State
Washington
Zip
98040-3245
Phone Number
425-214-3960
Fax Number
person
Provider Business Mailing Address Details
Address
9004 W Shorewood Dr
City
Mercer Island
State
Washington
Zip
98040-3245
Phone Number
425-214-3960
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
GA60587955 (Washington)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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