MEDICARE: DR. SARAH DEANN FRAKER DDS

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
1	122300000X	Dentist	DE8450	WA

General Provider Information

NPI Number	:	1083825293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH DEANN FRAKER DDS

Provider Business Mailing Address
First Line	:	8120 GREEN LAKE DR N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4412
Country	:	US
Telephone Number	:	206-525-4994
Fax Number	:	206-525-2063

Provider Business Practice Location Address
First Line	:	8120 GREEN LAKE DR N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4412
Country	:	US
Telephone Number	:	206-525-4994
Fax Number	:	206-525-2063

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	07/08/2007

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