| Bellevue Kids Dentist | |
|
2150 112th Ave Ne Ste A Bellevue WA 98004-2939 | |
| (425) 455-0784 | |
| (425) 451-3999 |
| Full Name | Bellevue Kids Dentist |
|---|---|
| Speciality | Dentist |
| Location | 2150 112th Ave Ne Ste A, Bellevue, Washington |
| Authorized Official Name and Position | La Nette Mcintosh (REGIONAL OFFICE MANAGER) |
| Authorized Official Contact | 4253961011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Kids Dentist 2150 112th Ave Ne Ste A Bellevue WA 98004-2939 Ph: (425) 455-0784 | Bellevue Kids Dentist 2150 112th Ave Ne Ste A Bellevue WA 98004-2939 Ph: (425) 455-0784 |
| NPI Number | 1063657393 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063657393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00008547 (Washington) | Primary |
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