Provider First Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL
Provider Second Line Business Practice Location Address:
1959 NE PACIFIC STREET BOX 357134
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-258-2919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2017