| |
1515 116th Ave Ne, Suite 105 Bellevue WA 98004 | |
(425) 382-7559 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1515 116th Ave Ne, Suite 105, Bellevue, Washington |
Authorized Official Name and Position | George B Bridgforth (ADMINISTRATOR) |
Authorized Official Contact | 2063553395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1515 116th Ave Ne, Suite 105 Bellevue WA 98004 Ph: (425) 382-7559 | 1515 116th Ave Ne, Suite 105 Bellevue WA 98004 Ph: (425) 382-7559 |
NPI Number | 1598336380 |
---|---|
Provider Enumeration Date | 07/02/2021 |
Last Update Date | 04/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598336380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | 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 |