Supertooth Dentistry

NPI #1073800942 in Seattle, Washington

Provider Information

NPI Number: 1073800942
Entity Type: Organization
Organization Name: Supertooth Dentistry
Primary Specialty: Dentist
Enumeration Date: Jun 29, 2011
Last Updated: Jun 29, 2011

Practice Location

Address: 133 QUEEN ANNE AVE N
City: Seattle
State: Washington
ZIP Code: 98109-4980
Phone: (206) 953-8544

Authorized Official

Name: MICHAEL KITSIS
Title: PRESIDENT
Phone: (206) 953-8544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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