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NPI 1295798650

IndividualActive

A.j. Gollofon, DDS

NPI 1295798650 · General Practice Dentistry · Seattle, WA

Provider details

NPI number: 1295798650
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DE00006208 (WA)

Practice location

11285 Lake City Way Ne

Seattle, WA 98125-6718

Phone: (206) 363-7200

Fax: (206) 367-8869

More WA providers

Mailing address

11285 Lake City Way Ne

Seattle, WA 98125-6718

Registry dates

Enumerated: 2006-04-07
Last updated: 2016-07-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

A.j. Gollofon, DDS — NPI 1295798650, Seattle, WA | NPI Central