| A Kids Place Dentistry For Children | |
|
451 Duvall Ave Ne Suite 140 Renton WA 98059-4675 | |
| (425) 228-5437 | |
| (425) 663-7990 |
| Full Name | A Kids Place Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 451 Duvall Ave Ne, Renton, Washington |
| Authorized Official Name and Position | Lanette Mcintosh (REGIONAL OPERATIONS MANAGER) |
| Authorized Official Contact | 4253961011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Kids Place Dentistry For Children 451 Duvall Ave Ne Suite 140 Renton WA 98059-4675 Ph: (425) 228-5437 | A Kids Place Dentistry For Children 451 Duvall Ave Ne Suite 140 Renton WA 98059-4675 Ph: (425) 228-5437 |
| NPI Number | 1770826927 |
|---|---|
| Provider Enumeration Date | 04/05/2013 |
| Last Update Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770826927 | NPI | - | NPPES |
| 5048921 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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