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505 E Sunset Way Issaquah WA 98027-3438 | |
| (425) 392-0980 | |
| (425) 392-0671 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 505 E Sunset Way, Issaquah, Washington |
| Authorized Official Name and Position | Padmaraj (raj) V. Angolkar (ORTHODONTIST) |
| Authorized Official Contact | 4253920980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
505 E Sunset Way Issaquah WA 98027-3438 Ph: (425) 392-0980 | 505 E Sunset Way Issaquah WA 98027-3438 Ph: (425) 392-0980 |
| NPI Number | 1326249731 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326249731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00005781 (Washington) | Primary |
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