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3014 Issaquah Pine Lake Rd Se Ste A Sammamish WA 98075-7253 | |
(425) 281-1823 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 3014 Issaquah Pine Lake Rd Se Ste A, Sammamish, Washington |
Authorized Official Name and Position | Annikka Frostad-thomas Freelove (OWNER DENTIST) |
Authorized Official Contact | 4252811823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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23955 Se 40th Pl Sammamish WA 98029-7569 Ph: (425) 281-1823 | 3014 Issaquah Pine Lake Rd Se Ste A Sammamish WA 98075-7253 Ph: (425) 281-1823 |
NPI Number | 1851097224 |
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Provider Enumeration Date | 02/06/2023 |
Last Update Date | 06/13/2023 |
Identifier | Type | State | Issuer |
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1851097224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rhonda Newton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 228th Ave Ne, Sammamish, WA 98074 Phone: 425-868-0123 Fax: 425-868-0714 | |