Healthcare Provider Details

I. General information

NPI: 1427102789
Provider Name (Legal Business Name): ADRIANOS DENTAL - HILOS DENTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 N 145TH ST
SEATTLE WA
98133-6202
US

IV. Provider business mailing address

1205 N 145TH ST
SEATTLE WA
98133-6202
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-9223
  • Fax: 206-363-6550
Mailing address:
  • Phone: 206-363-9223
  • Fax: 206-363-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License Number
License Number State

VIII. Authorized Official

Name: HERMINIA HILO SUBARAN
Title or Position: OWNER
Credential: LD
Phone: 206-363-9223