University of Washington
NPI #1003968074 in Seattle, Washington
Provider Information
- NPI Number
- 1003968074
- Entity Type
- Organization
- Organization Name
- University of Washington
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1959 NE PACIFIC ST
- City
- Seattle
- State
- Washington
- ZIP Code
- 98195-0001
- Phone
- (206) 616-8794
Authorized Official
- Name
- MR. ROBERT RUSSELL
- Title
- MANAGER, PATIENT ACCOUNTS OFFICE
- Phone
- (206) 616-8794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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