ETHERIDGE FAMILY DENTISTRY NPI 1093147068

NPI Information

ETHERIDGE FAMILY DENTISTRY is an endodontics dentist in Seattle, WA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ETHERIDGE FAMILY DENTISTRY NPI is 1093147068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3130 E MADISON ST STE 103
SEATTLE, WA
ZIP 98112-221
Phone: (206) 323-0990

The provider's authorized official is Lori Liu .
The authorized official title is Office Manager and has the following contact phone number (206) 323-0990.

The enumeration date for this NPI number is 8/1/2013 and was last updated on 8/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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