| Brightnow Dental - Bonney Lake | |
|
9503 192nd Ave E Bonney Lake WA 98391-6533 | |
| (253) 299-3033 | |
| (253) 862-9727 |
| Full Name | Brightnow Dental - Bonney Lake |
|---|---|
| Speciality | Dentist |
| Location | 9503 192nd Ave E, Bonney Lake, Washington |
| Authorized Official Name and Position | Ashifa A Nurani (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightnow Dental - Bonney Lake 9503 192nd Ave E Bonney Lake WA 98391-6533 Ph: (253) 299-3033 | Brightnow Dental - Bonney Lake 9503 192nd Ave E Bonney Lake WA 98391-6533 Ph: (253) 299-3033 |
| NPI Number | 1295170280 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295170280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00008078 (Washington) | Primary |
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
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