| Eastside Braces | |
|
14605 Se 36th St Bellevue WA 98006-1669 | |
| (425) 643-3912 | |
| (425) 643-7988 |
| Full Name | Eastside Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14605 Se 36th St, Bellevue, Washington |
| Authorized Official Name and Position | Mohammad Sayed Mainayar (CEO) |
| Authorized Official Contact | 4257530773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Braces 14605 Se 36th St Bellevue WA 98006-1669 Ph: (425) 643-3912 | Eastside Braces 14605 Se 36th St Bellevue WA 98006-1669 Ph: (425) 643-3912 |
| NPI Number | 1437400934 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437400934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE60298960 (Washington) | Primary |
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