Provider First Line Business Practice Location Address:
1959 NE PACIFIC STREET, UW DEPARTMENT OF ORAL SURGERY B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-7134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-543-7486
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2025