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10709 Beardslee Blvd Ste 101 Bothell WA 98011-3280 | |
(425) 486-8666 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 10709 Beardslee Blvd Ste 101, Bothell, Washington |
Authorized Official Name and Position | Ashley Sc Ulrich (OWNER) |
Authorized Official Contact | 4255039544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10709 Beardslee Blvd Ste 101 Bothell WA 98011-3280 Ph: (425) 486-8666 | 10709 Beardslee Blvd Ste 101 Bothell WA 98011-3280 Ph: (425) 486-8666 |
NPI Number | 1194181032 |
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Provider Enumeration Date | 01/07/2016 |
Last Update Date | 01/07/2016 |
Identifier | Type | State | Issuer |
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1194181032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DE60237855 (Washington) | Primary |
Blake Herbison Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18520 101st Ave Ne, Bothell, WA 98011 Phone: 425-486-2727 | |
Fernando Caballero, Dds And Isabel Perez Dds. Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11511 Ne 195th St, #104, Bothell, WA 98011 Phone: 425-481-5302 | |
Ross L Taylor, P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7317 N.e. 141st Street, Bothell, WA 98011 Phone: 425-823-8803 | |