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4122 Factoria Blvd Se Suite 301 Bellevue WA 98006-4200 | |
(425) 401-5000 | |
(425) 957-9966 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4122 Factoria Blvd Se, Bellevue, Washington |
Authorized Official Name and Position | Leroy Dimitrios Horton (OWNER) |
Authorized Official Contact | 4254015000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4122 Factoria Blvd Se Suite 301 Bellevue WA 98006-4200 Ph: (425) 401-5000 | 4122 Factoria Blvd Se Suite 301 Bellevue WA 98006-4200 Ph: (425) 401-5000 |
NPI Number | 1316308687 |
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Provider Enumeration Date | 03/15/2016 |
Last Update Date | 03/15/2016 |
Identifier | Type | State | Issuer |
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1316308687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DE00011048 (Washington) | Primary |
Dara Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4935 Lakemont Blvd Se Ste B3, Bellevue, WA 98006 Phone: 425-746-2101 | |
Navneet K Sekhon Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12917 Se 38th St Ste 206, Bellevue, WA 98006 Phone: 425-641-2960 | |
Marcus K. Flynn Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Factoria Blvd Se Ste A, Bellevue, WA 98006 Phone: 425-641-8600 |