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1200 112th Ave Ne Ste B275 Bellevue WA 98004-3738 | |
(425) 289-1918 | |
(425) 451-4029 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1200 112th Ave Ne Ste B275, Bellevue, Washington |
Authorized Official Name and Position | James Thomas (OWNER) |
Authorized Official Contact | 4252891918 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 112th Ave Ne Ste B275 Bellevue WA 98004-3738 Ph: (425) 289-1918 | 1200 112th Ave Ne Ste B275 Bellevue WA 98004-3738 Ph: (425) 289-1918 |
NPI Number | 1063754661 |
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Provider Enumeration Date | 03/21/2013 |
Last Update Date | 07/01/2015 |
Identifier | Type | State | Issuer |
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1063754661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | DE 00010125 (Washington) | Primary |
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 |