| |
14420 Bel Red Rd Ste 201 Bellevue WA 98007-3930 | |
(425) 644-8000 | |
(425) 644-4888 |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 14420 Bel Red Rd Ste 201, Bellevue, Washington |
Authorized Official Name and Position | Douglas Trippel (PRESIDENT) |
Authorized Official Contact | 4256448000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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14420 Bel Red Rd Ste 201 Bellevue WA 98007-3930 Ph: (425) 644-8000 | 14420 Bel Red Rd Ste 201 Bellevue WA 98007-3930 Ph: (425) 644-8000 |
NPI Number | 1700054913 |
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Provider Enumeration Date | 02/11/2008 |
Last Update Date | 05/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700054913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00009124 (Washington) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE0005495 (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 |