| |
15710 Ne 24th Street #b Bellevue WA 98008 | |
(425) 643-7100 | |
(425) 644-1426 |
Full Name | |
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Speciality | Dentist |
Location | 15710 Ne 24th Street, Bellevue, Washington |
Authorized Official Name and Position | Eric Der Ovanessian (PRESIDENT) |
Authorized Official Contact | 4256437100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15710 Ne 24th Street #b Bellevue WA 98008 Ph: (425) 643-7100 | 15710 Ne 24th Street #b Bellevue WA 98008 Ph: (425) 643-7100 |
NPI Number | 1194898379 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 08/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194898379 | NPI | - | NPPES |
5034913 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7600 (Washington) | Primary |
122300000X | Dentist | 39144 (California) | Secondary |
Dara Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4935 Lakemont Blvd Se Ste B3, Bellevue, WA 98006 Phone: 425-746-2101 | |
Navneet K Sekhon Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12917 Se 38th St Ste 206, Bellevue, WA 98006 Phone: 425-641-2960 | |
Marcus K. Flynn Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Factoria Blvd Se Ste A, Bellevue, WA 98006 Phone: 425-641-8600 |