Provider Demographics
NPI:1871784348
Name:VICTOR J. BARRY, DDS & MICHAEL J. MULICK, DMD & ASSOCIATES PL LC
Entity type:Organization
Organization Name:VICTOR J. BARRY, DDS & MICHAEL J. MULICK, DMD & ASSOCIATES PL LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LE CLECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-325-0166
Mailing Address - Street 1:600 BROADWAY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5395
Mailing Address - Country:US
Mailing Address - Phone:206-325-0166
Mailing Address - Fax:
Practice Address - Street 1:600 BROADWAY
Practice Address - Street 2:SUITE 330
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5395
Practice Address - Country:US
Practice Address - Phone:206-325-0166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty