MEDICARE: DR. KATHARINE IRENE CHRISTIAN D.M.D

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	1223G0001X	General Practice Dentistry	DE00010056	WA

General Provider Information

NPI Number	:	1982626289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHARINE IRENE CHRISTIAN D.M.D

Provider Business Mailing Address
First Line	:	2101 4TH AVE
Second Line	:	STE 2330
City	:	SEATTLE
State	:	WA
Zip	:	98121-2352
Country	:	US
Telephone Number	:	206-770-0260
Fax Number	:	206-770-0182

Provider Business Practice Location Address
First Line	:	2101 4TH AVE
Second Line	:	STE 2330
City	:	SEATTLE
State	:	WA
Zip	:	98121-2352
Country	:	US
Telephone Number	:	206-770-0260
Fax Number	:	206-770-0182

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/16/2015

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