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NPI Code Detail

MEDICARE: DR. SANDY CHAN MARGOLES DDS

MEDICARE:  DR. SANDY CHAN MARGOLES  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
1122300000XDentistDE 00011222WA

General Provider Information

NPI Number : 1194703256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDY CHAN MARGOLES DDS
Provider Business Mailing Address
First Line : 1500 FAIRVIEW AVE E
Second Line : SUITE 301
City : SEATTLE
State : WA
Zip : 98102-3727
Country : US
Telephone Number : 206-328-3002
Fax Number : 206-328-3854
Provider Business Practice Location Address
First Line : 1500 FAIRVIEW AVE E
Second Line : SUITE 301
City : SEATTLE
State : WA
Zip : 98102-3727
Country : US
Telephone Number : 206-328-3002
Fax Number : 206-328-3854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2006
Last Update Date : 07/10/2015

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Directions to “ DR. SANDY CHAN MARGOLES DDS” Practice Location

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