Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DE60279826 | WA |
NPI | 1003179136 |
---|---|
Provider Name | Dr. Katherine Michelle Sloan |
First Address | Seattle, WA 98124-3835 |
Second Address | Seattle, WA 98126-3002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 04/10/2016 |