Provider Demographics
NPI:1588911127
Name:APS, JOHAN KAREL (DDS, MSC , MSC, PHD)
Entity type:Individual
Prefix:PROF
First Name:JOHAN
Middle Name:KAREL
Last Name:APS
Suffix:
Gender:M
Credentials:DDS, MSC , MSC, PHD
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Other - Middle Name:
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Mailing Address - Street 1:6222 NE 74TH STREET
Mailing Address - Street 2:THE CENTER FOR PEDIATRIC DENTISTRY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115
Mailing Address - Country:US
Mailing Address - Phone:206-543-8500
Mailing Address - Fax:
Practice Address - Street 1:6222 NE 74TH ST
Practice Address - Street 2:THE CENTER FOR PEDIATRIC DENTISTRY, MAGNUSON PARK
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8158
Practice Address - Country:US
Practice Address - Phone:206-543-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADF602858601223P0221X, 1223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology