Healthcare Provider Details

I. General information

NPI: 1740309244
Provider Name (Legal Business Name): MICHAEL EUGENE HRANKOWSKI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21810 76TH AVE W SUITE 102
EDMONDS WA
98026-7917
US

IV. Provider business mailing address

1230 NW BLAKELY CT
SEATTLE WA
98177-4340
US

V. Phone/Fax

Practice location:
  • Phone: 425-775-3446
  • Fax:
Mailing address:
  • Phone: 425-775-3446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5710
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: