G. B. Stahl, Dds, Pllc

NPI #1487200531 in Bellevue, Washington

Provider Information

NPI Number: 1487200531
Entity Type: Organization
Organization Name: G. B. Stahl, Dds, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: GANNON B. STAHL DDS PC
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2019
Last Updated: Aug 14, 2019

Practice Location

Address: 14030 NE 24TH ST
Address 2: SUITE 100
City: Bellevue
State: Washington
ZIP Code: 98007
Phone: (425) 641-3668

Authorized Official

Name: DR. GANNON STAHL, DDS
Title: OWNER
Phone: (425) 641-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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