Bj Mulliken Dds Pllc | |
16030 Bothell Everett Hwy Ste 280 Mill Creek WA 98012-1599 | |
(425) 481-4974 | |
(425) 338-4930 |
Full Name | Bj Mulliken Dds Pllc |
---|---|
Speciality | Dentist |
Location | 16030 Bothell Everett Hwy Ste 280, Mill Creek, Washington |
Authorized Official Name and Position | Bill Mulliken (OWNER) |
Authorized Official Contact | 4254814974 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bj Mulliken Dds Pllc 16030 Bothell Everett Hwy Ste 280 Mill Creek WA 98012-1599 Ph: (425) 481-4974 | Bj Mulliken Dds Pllc 16030 Bothell Everett Hwy Ste 280 Mill Creek WA 98012-1599 Ph: (425) 481-4974 |
NPI Number | 1114324274 |
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Provider Enumeration Date | 12/04/2014 |
Last Update Date | 11/08/2017 |
Medicare PECOS PAC ID | 2860759537 |
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Medicare Enrollment ID | O20171205002471 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114324274 | NPI | - | NPPES |
5460 | Other | WA | DENTAL LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5460 (Washington) | Primary |
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