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9750 Ne 120th Pl Ste 4 Kirkland WA 98034-4207 | |
| (425) 823-8100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9750 Ne 120th Pl Ste 4, Kirkland, Washington |
| Authorized Official Name and Position | Lyudmyla Alder (DENTIST) |
| Authorized Official Contact | 4258238100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1722 185th Ave Ne Snohomish WA 98290-4446 Ph: (425) 330-1553 | 9750 Ne 120th Pl Ste 4 Kirkland WA 98034-4207 Ph: (425) 823-8100 |
| NPI Number | 1487318986 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487318986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Stanton H Hall Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12817 120th Ave Ne, Suite D, Kirkland, WA 98034 Phone: 425-821-7888 Fax: 425-821-0412 | |