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Contact Information

COLLEGE PLACE ORTHODONTICS LLC
19720 68TH AVE W
SUITE E
LYNNWOOD, WA98036
 Phone: 425-670-2033
 Fax: 425-670-2303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for COLLEGE PLACE ORTHODONTICS LLC

NPI # 1043321441
LBN Legal business name COLLEGE PLACE ORTHODONTICS LLC
Authorized official JEAN XU - (MEMBER)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers
WA License # DE00008527
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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