| Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd | |
|
5723 Ne Bothell Way Suite D Kenmore WA 98028 | |
| (425) 486-9111 | |
| (425) 489-1923 |
| Full Name | Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5723 Ne Bothell Way, Kenmore, Washington |
| Authorized Official Name and Position | Jon Tarleton (OWNER) |
| Authorized Official Contact | 4254869111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd 5723 Ne Bothell Way Suite D Kenmore WA 98028 Ph: (425) 486-9111 | Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd 5723 Ne Bothell Way Suite D Kenmore WA 98028 Ph: (425) 486-9111 |
| NPI Number | 1932654373 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932654373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE60455178 (Washington) | Primary |
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Kenmore Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5723 Ne Bothell Way Ste A, Kenmore, WA 98028 Phone: 206-525-2813 | |
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