Gannon B. Stahl Dds Pc

NPI 1497912968 - Clinic/Center - 261QD0000X

NPI Details
NPI 1497912968
Enumeration Date 05/21/2008
Last Updated 05/21/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GANNON BLAKE GANNON
Position OWNER
Phone (425) 649-0800
Fax (425) 649-0806
Practice Location
14730 NE 8TH ST
STE. 105
BELLEVUE WA, 98007-4116, US
Phone (425) 649-0800
Fax (425) 649-0806
Business Location
14730 NE 8TH ST
STE. 105
BELLEVUE WA, 98007-4116, US
Phone (425) 649-0800
Fax (425) 649-0806
Toxanomy
Taxonomy Code 261QD0000X
License State Washington
License Number DE00010985
Remove 1497912968 NPI Number
 

According to our database, Gannon B. Stahl Dds Pc NPI is 1497912968, taxonomy code is 261QD0000X and license number is DE00010985, license state is located at Washington. Gannon B. Stahl Dds Pc physically located at 14730 Ne 8th St, Bellevue WA, 98007-4116. NPI Number 1033115704 has the healthcare provider type.

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1497912968 NPI number is provided on an as is basis without warranty of any kind. 1497912968 is maintained by the National Plan & Provider Enumeration System. The contents of Gannon B. Stahl Dds Pc are for informational purposes only.