Green Lake Family and Cosmetic Dentistry
NPI #1992506141 in Seattle, Washington
Provider Information
- NPI Number
- 1992506141
- Entity Type
- Organization
- Organization Name
- Green Lake Family and Cosmetic Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 24, 2025
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 8018 AURORA AVE N
- City
- Seattle
- State
- Washington
- ZIP Code
- 98103-4350
- Phone
- (206) 258-4207
Authorized Official
- Name
- DR. CHERRYL SUE ELLISON, DDS
- Title
- DENTIST OWNER
- Phone
- (812) 272-4602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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