Im Professional Services Llc | |
1040 Ne Hostmark St Ste 100a Poulsbo WA 98370-7337 | |
(360) 779-4556 | |
(360) 779-1212 |
Full Name | Im Professional Services Llc |
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Speciality | Clinic/center - Dental |
Location | 1040 Ne Hostmark St Ste 100a, Poulsbo, Washington |
Authorized Official Name and Position | Patrick Im (OWNER) |
Authorized Official Contact | 3607794556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Im Professional Services Llc 1040 Ne Hostmark St Ste 100a Poulsbo WA 98370-7337 Ph: (360) 779-4556 | Im Professional Services Llc 1040 Ne Hostmark St Ste 100a Poulsbo WA 98370-7337 Ph: (360) 779-4556 |
NPI Number | 1497470181 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 10/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497470181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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