PROVAIL DENTAL CLINIC is a dental clinic center in Seattle, WA. PROVAIL DENTAL CLINIC NPI is 1487845327. The provider is registered as an organization entity type.
The provider's business location address is:
10215 LAKE CITY WAY NE STE E
SEATTLE, WA
ZIP 98125-758
Phone: (206) 632-2612
The provider's authorized official is Michael Hatzenbeler .
The authorized official title is Ceo and has the following contact phone number (206) 826-1044.
The enumeration date for this NPI number is 8/6/2007 and was last updated on 7/21/2022.