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185 Ne Gilman Blvd Issaquah WA 98027-2937 | |
| (425) 392-4048 | |
| (425) 557-1138 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 185 Ne Gilman Blvd, Issaquah, Washington |
| Authorized Official Name and Position | Lanette Mcintosh (REGIONAL OPERATIONS MANAGER) |
| Authorized Official Contact | 4253961011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
185 Ne Gilman Blvd Issaquah WA 98027-2937 Ph: (425) 392-4048 | 185 Ne Gilman Blvd Issaquah WA 98027-2937 Ph: (425) 392-4048 |
| NPI Number | 1831423292 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831423292 | NPI | - | NPPES |
| 5017967 | Medicaid | WA |
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