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710 Nw Juniper St Suite 206 Issaquah WA 98027-2717 | |
| (425) 837-0634 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 710 Nw Juniper St, Issaquah, Washington |
| Authorized Official Name and Position | Peter Huysing (OWNER) |
| Authorized Official Contact | 4258370634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
710 Nw Juniper St Suite 206 Issaquah WA 98027-2717 Ph: (425) 837-0634 | 710 Nw Juniper St Suite 206 Issaquah WA 98027-2717 Ph: (425) 837-0634 |
| NPI Number | 1710015631 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710015631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE7680 (Washington) | Primary |
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