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5723 Ne Bothell Way Ste C Kenmore WA 98028-9404 | |
(425) 486-9111 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 5723 Ne Bothell Way Ste C, Kenmore, Washington |
Authorized Official Name and Position | Robert M Gottlieb (OWNER) |
Authorized Official Contact | 4254869111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5723 Ne Bothell Way Ste C Kenmore WA 98028-9404 Ph: (425) 486-9111 | 5723 Ne Bothell Way Ste C Kenmore WA 98028-9404 Ph: (425) 486-9111 |
NPI Number | 1558783670 |
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Provider Enumeration Date | 01/08/2014 |
Last Update Date | 01/08/2014 |
Identifier | Type | State | Issuer |
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1558783670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (Washington) | Primary |
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