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Search › Washington › 101YA0400X

Keith Seals, BS, SUDP, AAC, CPC

NPI 1871140590 · on the registry since 2019

Practice

Address
900 Fir St
Longview, WA 98632
Phone
(360) 575-3316
Fax
(360) 353-9440
Organisation at this address
Cowlitz Indian Tribe
Cowlitz Indian Tribe
Mountain Smiles - Longview Dental, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington