Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 5207 | WA |
NPI | 1275691198 |
---|---|
Provider Name | Dr. Ralph K Zech II |
First Address | Seattle, WA 98104-3594 |
Second Address | Seattle, WA 98104-3586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5207 | DENTAL LICENSE NUMBER (01) | WA |