| Dmg Dental Design Llc | |
|
1908 201st Pl Se 200 Bothell WA 98012-8572 | |
| (425) 488-2345 | |
| (425) 489-4082 |
| Full Name | Dmg Dental Design Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1908 201st Pl Se, Bothell, Washington |
| Authorized Official Name and Position | David G Myaskovsky (MEMBER) |
| Authorized Official Contact | 4254882345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmg Dental Design Llc 1908 201st Pl Se 200 Bothell WA 98012-8572 Ph: (425) 488-2345 | Dmg Dental Design Llc 1908 201st Pl Se 200 Bothell WA 98012-8572 Ph: (425) 488-2345 |
| NPI Number | 1508246927 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508246927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00007078 (Washington) | Primary |
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