| Bonney Lake Dental Center | |
|
9925 214th Ave E Ste A Bonney Lake WA 98391-3910 | |
| (253) 863-4594 | |
| (253) 863-5061 |
| Full Name | Bonney Lake Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9925 214th Ave E Ste A, Bonney Lake, Washington |
| Authorized Official Name and Position | Delia Constantin (DENTIST) |
| Authorized Official Contact | 2538634594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonney Lake Dental Center 9925 214th Ave E Ste A Bonney Lake WA 98391-3910 Ph: (253) 863-4594 | Bonney Lake Dental Center 9925 214th Ave E Ste A Bonney Lake WA 98391-3910 Ph: (253) 863-4594 |
| NPI Number | 1477783199 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477783199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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