| |
17121 Se 270th Pl Ste 202 Covington WA 98042-5431 | |
(253) 630-5500 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist |
Location | 17121 Se 270th Pl Ste 202, Covington, Washington |
Authorized Official Name and Position | Klye S Blair (DOCTOR) |
Authorized Official Contact | 2536305500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
17121 Se 270th Pl Ste 202 Covington WA 98042-5431 Ph: (253) 630-5500 | 17121 Se 270th Pl Ste 202 Covington WA 98042-5431 Ph: (253) 630-5500 |
NPI Number | 1346693892 |
---|---|
Provider Enumeration Date | 07/20/2016 |
Last Update Date | 07/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346693892 | NPI | - | NPPES |
1245546068 | Other | WA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60170682 (Washington) | Primary |
J. Kim And L. Kim Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17265 Se Wax Rd Ste 101, Covington, WA 98042 Phone: 253-639-6868 | |
Dhaliwal And Dhaliwal Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17327 Se 270th Pl Ste B113, Covington, WA 98042 Phone: 253-854-2714 | |