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430 N West Ave Ste 1 Arlington WA 98223-1539 | |
| (360) 474-9163 | |
| (360) 474-9180 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 430 N West Ave Ste 1, Arlington, Washington |
| Authorized Official Name and Position | Bakhtiar Ardi Pribadi (OWNER) |
| Authorized Official Contact | 3604749163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
430 N West Ave Ste 1 Arlington WA 98223-1539 Ph: (360) 474-9163 | 430 N West Ave Ste 1 Arlington WA 98223-1539 Ph: (360) 474-9163 |
| NPI Number | 1144533142 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144533142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010465 (Washington) | Primary |
Kim And Lee, Dmds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16825 Smokey Point Blvd, Arlington, WA 98223 Phone: 360-653-5197 | |
Paul J. Lund, Mph, Dds, Msd, Chartered Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16820 Smokey Point Blvd, Arlington, WA 98223 Phone: 425-335-5700 |