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NPI Code Detail

MEDICARE: LAURA CHASE DDS PS

MEDICARE: LAURA CHASE DDS PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDE00007726WA

General Provider Information

NPI Number : 1578667663
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAURA CHASE DDS PS
Provider Business Mailing Address
First Line : 6319 24TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98107-2423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6319 24TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98107-2423
Country : US
Telephone Number : 206-781-2501
Fax Number : 206-781-5079
Authorized Official
Title or Position : OWNER
Name : LAURA LYNN CHASE
Credential : DDS
Telephone Number : 206-781-2501
Provider Enumeration Date : 09/11/2006
Last Update Date : 08/22/2020

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Directions to “LAURA CHASE DDS PS ” Practice Location

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