Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DE60636741 | WA |
N | 1223D0001X | Dental Public Health | DE60636741 | WA |
NPI | 1023496312 |
---|---|
Provider Name | Katherine Vogel |
First Address | Seattle, WA 98104-3032 |
Second Address | Bellevue, WA 98005-2972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2015 |
Last Update Date | 27/12/2021 |