|
| |
|
17917 Bothell Everett Hwy Ste 305 Bothell WA 98012-6379 | |
| (425) 481-1038 | |
| (425) 483-3158 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17917 Bothell Everett Hwy Ste 305, Bothell, Washington |
| Authorized Official Name and Position | Steve Hwang (OWNER) |
| Authorized Official Contact | 4254811038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17917 Bothell Everett Hwy Ste 305 Bothell WA 98012-6379 Ph: (425) 481-1038 | 17917 Bothell Everett Hwy Ste 305 Bothell WA 98012-6379 Ph: (425) 481-1038 |
| NPI Number | 1053025478 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053025478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Blake Herbison Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18520 101st Ave Ne, Bothell, WA 98011 Phone: 425-486-2727 | |
Fernando Caballero, Dds And Isabel Perez Dds. Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11511 Ne 195th St, #104, Bothell, WA 98011 Phone: 425-481-5302 | |
Ross L Taylor, P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7317 N.e. 141st Street, Bothell, WA 98011 Phone: 425-823-8803 |