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875 140th Ave Ne Suite 200 Bellevue WA 98005-3400 | |
(425) 614-3777 | |
(425) 641-1960 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 875 140th Ave Ne, Bellevue, Washington |
Authorized Official Name and Position | Nolan Louis Gerlach (OWNER) |
Authorized Official Contact | 2068546317 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16604 Se 17th Pl Bellevue WA 98008-5125 Ph: (206) 854-6317 | 875 140th Ave Ne Suite 200 Bellevue WA 98005-3400 Ph: (425) 614-3777 |
NPI Number | 1972816460 |
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Provider Enumeration Date | 07/26/2010 |
Last Update Date | 07/26/2010 |
Identifier | Type | State | Issuer |
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1972816460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE60130018 (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 |