| Organization Name: | ROBERT R. UHLMANSIEK, D.D.S., P.S. |
| NPI Number: | 1669511184 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT RUSSELL UHLMANSIEK (PRESIDENT) |
| Mailing Address: | 17171 Bothell Way Ne Lake Forest Park |
| State: | WA US |
| Postal Code: | 981555534 |
| Phone Number: | 2063655454 |
| Fax Number: | 2063625587 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |