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NPI Code Detail

MEDICARE: DAVID J. ABDO INC.PS

MEDICARE: DAVID J. ABDO INC.PS
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
1122300000XDentist5813WAWA

General Provider Information

NPI Number : 1417400615
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID J. ABDO INC.PS
Provider Business Mailing Address
First Line : 122 E MAPLE ST
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1545
Country : US
Telephone Number : 360-435-8411
Fax Number : 360-435-7945
Provider Business Practice Location Address
First Line : 122 E MAPLE ST
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1545
Country : US
Telephone Number : 360-435-8411
Fax Number : 360-435-7945
Authorized Official
Title or Position : PRESIDENT
Name : DAVID J ABDO
Credential : DDS
Telephone Number : 360-435-8411
Provider Enumeration Date : 07/25/2016
Last Update Date : 07/25/2016

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Directions to “DAVID J. ABDO INC.PS ” Practice Location

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