| Lake Sammamish Kids Dentistry | |
|
3014 Issaquah Pine Lake Rd Se Ste A Sammamish WA 98075-7253 | |
| (425) 281-1823 | |
| Not Available |
| Full Name | Lake Sammamish Kids Dentistry |
|---|---|
| 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 |
|---|---|
| Lake Sammamish Kids Dentistry 23955 Se 40th Pl Sammamish WA 98029-7569 Ph: (425) 281-1823 | Lake Sammamish Kids Dentistry 3014 Issaquah Pine Lake Rd Se Ste A Sammamish WA 98075-7253 Ph: (425) 281-1823 |
| NPI Number | 1851097224 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851097224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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