Provider Demographics
NPI:1457572075
Name:RUNION, HARLESTON EARLE III (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARLESTON
Middle Name:EARLE
Last Name:RUNION
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 177TH LANE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-4216
Mailing Address - Country:US
Mailing Address - Phone:425-644-8080
Mailing Address - Fax:425-644-7108
Practice Address - Street 1:234 MARKET STREET
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6132
Practice Address - Country:US
Practice Address - Phone:425-827-3097
Practice Address - Fax:425-882-7580
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA46691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice