University of Washington Gpr

NPI #1932391679 in Seattle, Washington

Provider Information

NPI Number
1932391679
Entity Type
Organization
Organization Name
University of Washington Gpr
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF WASHINGTON
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 16, 2007
Last Updated
Aug 16, 2007

Practice Location

Address
1959 NE PACIFIC ST
ZIP Code
98195-0001
Phone
(206) 616-8794

Authorized Official

Name
MR. ROBERT RUSSELL
Title
MANAGER, PATIENT ACCOUNTS
Phone
(206) 616-8794

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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