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General NPI Number Information
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NPI Number | 1154573350
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Entity Type | Organization
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Legal Business Name | WESTMOOR DENTAL, INC.
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 3216 NE 45TH PL SUITE 213
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City | SEATTLE
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State | WA
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Zip | 98105-4093
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Country | US
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Telephone | 206-522-0466
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Fax |
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Provider Business Mailing Address
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Address Line | 2728 C WESTMOOR COURT S.W.
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City | OLYMPIA
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State | WA
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Zip | 98502
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Country | US
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Telephone | 360-753-2699
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Fax | 360-754-1098
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRADFORD L FRANK
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Credential | DDS
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Telephone | 206-522-0466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00010207
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00009915
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License Number State | WA
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