Provider Demographics
NPI:1285947440
Name:DAT P. GIAP, DMD & ASSOCIATES
Entity type:Organization
Organization Name:DAT P. GIAP, DMD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAT
Authorized Official - Middle Name:P
Authorized Official - Last Name:GIAP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:206-322-1861
Mailing Address - Street 1:1212 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2087
Mailing Address - Country:US
Mailing Address - Phone:206-322-1861
Mailing Address - Fax:206-322-1861
Practice Address - Street 1:1212 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2087
Practice Address - Country:US
Practice Address - Phone:206-322-1861
Practice Address - Fax:206-322-1861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAT P GIAP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00006206122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1013912062Medicaid