Eagle Harbor Dental | |
710 Ericksen Ave Ne Ste 200 Bainbridge Island WA 98110-2835 | |
(206) 842-2646 | |
Not Available |
Full Name | Eagle Harbor Dental |
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Speciality | Clinic/center - Dental |
Location | 710 Ericksen Ave Ne Ste 200, Bainbridge Island, Washington |
Authorized Official Name and Position | Orlando J Fugaro (OWNER) |
Authorized Official Contact | 2068422646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eagle Harbor Dental 710 Ericksen Ave Ne Ste 200 Bainbridge Island WA 98110-2835 Ph: (206) 842-2646 | Eagle Harbor Dental 710 Ericksen Ave Ne Ste 200 Bainbridge Island WA 98110-2835 Ph: (206) 842-2646 |
NPI Number | 1689020018 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 05/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689020018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 10104 (Washington) | Primary |
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