Organization · Type 2 NPI
Provail Dental Clinic
Dental Clinic/Center · Seattle, WA
NPI number
1487845327
Active
Practice location
10215 Lake City Way NE Ste E
Seattle, WA 98125-7758
Mailing address
3670 Stone Way N
Seattle, WA 98103-8004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1487845327
Provail Dental Clinic's National Provider Identifier is 1487845327, issued on Aug 6, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Seattle, WA. The record was last updated on Jul 21, 2022.