| Dentiste | |
|
5726 Lake Washington Blvd Ne Ste 2 Kirkland WA 98033-7425 | |
| (425) 284-0515 | |
| Not Available |
| Full Name | Dentiste |
|---|---|
| Speciality | Dentist |
| Location | 5726 Lake Washington Blvd Ne Ste 2, Kirkland, Washington |
| Authorized Official Name and Position | Andrea Lee Sawyer (OFFICE MANAGER) |
| Authorized Official Contact | 4252840515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentiste 5726 Lake Washington Blvd Ne Ste 2 Kirkland WA 98033-7425 Ph: (425) 284-0515 | Dentiste 5726 Lake Washington Blvd Ne Ste 2 Kirkland WA 98033-7425 Ph: (425) 284-0515 |
| NPI Number | 1386001865 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386001865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9147 (Washington) | Primary |
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