| |
188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 | |
(425) 454-2005 | |
(425) 454-1360 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 188 106th Ave Ne, Bellevue, Washington |
Authorized Official Name and Position | Syeda Bakhtawar (DENTIST OWNER) |
Authorized Official Contact | 4128600696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 Ph: (425) 454-2005 | 188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 Ph: (425) 454-2005 |
NPI Number | 1144776022 |
---|---|
Provider Enumeration Date | 08/30/2016 |
Last Update Date | 03/13/2017 |
Medicare PECOS PAC ID | 5890062616 |
---|---|
Medicare Enrollment ID | O20170607001460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144776022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE60238596 (Washington) | Primary |
Dara Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4935 Lakemont Blvd Se Ste B3, Bellevue, WA 98006 Phone: 425-746-2101 | |
Navneet K Sekhon Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12917 Se 38th St Ste 206, Bellevue, WA 98006 Phone: 425-641-2960 | |
Marcus K. Flynn Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Factoria Blvd Se Ste A, Bellevue, WA 98006 Phone: 425-641-8600 |