PROVAIL DENTAL CLINIC

SEATTLE, WA
NPI1487845327
Entity TypeOrganization
Authorized ContactMICHAEL HATZENBELER
CEO
206-826-1044
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2007-08-06
Last Update Date2022-07-21
Business Address
PROVAIL DENTAL CLINIC
10215 LAKE CITY WAY NE STE E
SEATTLE, WA 98125-7758
Phone number: 206-632-2612
Mailing Address
PROVAIL DENTAL CLINIC
3670 STONE WAY N
SEATTLE, WA 98103-8004
Phone number: 206-363-7303
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