IndividualActive
Er-Jia Mao, DDS, PHD
NPI 1326044058 · Periodontics · Seattle, WA
Provider details
- NPI number
- 1326044058
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, PHD
- Sex
- Male
- License
- DE8464 (WA)
Specialties & taxonomies
Dental Providers
Practice location
2111 N Northgate Way
Ste 215
Seattle, WA 98133-9018
Phone: (206) 367-6767
Fax: (206) 367-4788
Approximate (ZIP-level) locationGet directions
Mailing address
2111 N Northgate Way
Seattle, WA 98133
Registry dates
- Enumerated
- 2005-06-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.