NPI Profile for SEA MAR SPECIALTY DENTAL GROUP in BELLEVUE, WA.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Dental |
261QD0000X | |||
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Optometrist |
152W00000X | 41 | Optometry | |
Oral and Maxillofacial Surgery |
261QS0112X | |||
Rheumatology |
207RR0500X | 11 | Physician/Internal Medicine | |
Sports Medicine |
207RS0010X | 11 | Physician/Internal Medicine |
| NPI Number | 1568981470 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/12/2017 | |
| Last updated | 03/17/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SEA MAR SPECIALTY DENTAL GROUP
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