Artisan Dental Bellevue | |
188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 | |
(425) 454-2005 | |
(425) 454-1360 |
Full Name | Artisan Dental Bellevue |
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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 |
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Artisan Dental Bellevue 188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 Ph: (425) 454-2005 | Artisan Dental Bellevue 188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 Ph: (425) 454-2005 |
NPI Number | 1144776022 |
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Provider Enumeration Date | 08/30/2016 |
Last Update Date | 03/13/2017 |
Medicare PECOS PAC ID | 5890062616 |
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Medicare Enrollment ID | O20170607001460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144776022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE60238596 (Washington) | Primary |
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