institution
Provail Dental Clinic
Dental Clinic/Center in Seattle, Washington
NPI 1487845327

Provail Dental Clinic is a Dental Clinic/Center based in Seattle, WA and is specialized in Dental. Provail Dental Clinic practices in Seattle, WA. The NPI Number for Provail Dental Clinic is 1487845327 and holds a License No. (Washington).

The current practice location address for Provail Dental Clinic is 10215 Lake City Way Ne Ste E, Seattle, WA and can be reached out via phone at 206-632-2612.

Location: 10215 Lake City Way Ne Ste E, Seattle, WA, 98103-8004
institution
Provider Profile Details
NPI Number
1487845327
Provider Name
Provail Dental Clinic
Credential
Provider Entity Type
Organization
Address
10215 Lake City Way Ne Ste E, Seattle, WA, 98103-8004
Phone Number
206-632-2612
Fax Number
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5716808 05 WA
institution
Provider Business Practice Location Address Details
Address
10215 Lake City Way Ne Ste E
City
State
Zip
98125-7758
Phone Number
206-632-2612
Fax Number
person
Provider Business Mailing Address Details
Address
10215 Lake City Way Ne Ste E
City
State
Zip
98125-7758
Phone Number
206-632-2612
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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