| NPI | 1538217500 |
|---|---|
| Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Other Name | SEA MAR CHC MT. VERNON DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-788-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005372781) |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2025-01-31 |