Allied Family Dental | |
14212 Ambaum Blvd Sw Suite 302 Burien WA 98166-1449 | |
(206) 244-7992 | |
Not Available |
Full Name | Allied Family Dental |
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Speciality | Dentist - General Practice |
Location | 14212 Ambaum Blvd Sw, Burien, Washington |
Authorized Official Name and Position | Dimitri Rabinovich (OPERATIONS MANAGER) |
Authorized Official Contact | 2064347117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Allied Family Dental 14212 Ambaum Blvd Sw Suite 302 Burien WA 98166-1449 Ph: () - | Allied Family Dental 14212 Ambaum Blvd Sw Suite 302 Burien WA 98166-1449 Ph: (206) 244-7992 |
NPI Number | 1649554189 |
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Provider Enumeration Date | 10/03/2011 |
Last Update Date | 10/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649554189 | NPI | - | NPPES |
5032388 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Burien Children's Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14411 Ambaum Blvd Sw Ste B, Burien, WA 98166 Phone: 602-620-4105 | |
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