MEDICARE: KATHARINE CHRISTIAN DMD II PLLC

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	DE00010056	WA

General Provider Information

NPI Number	:	1629485552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHARINE CHRISTIAN DMD II PLLC

Provider Business Mailing Address
First Line	:	2101 4TH AVE STE 2330
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-2317
Country	:	US
Telephone Number	:	206-770-0182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 4TH AVE STE 2330
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-2317
Country	:	US
Telephone Number	:	206-770-0182
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. KATHARINE IRENE CHRISTIAN
Credential	:	DMD
Telephone Number	:	206-770-0260

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	11/03/2014

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