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1416 Highlands Dr Ne Suite 120 Issaquah WA 98029-6240 | |
| (425) 557-9000 | |
| (425) 557-9003 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1416 Highlands Dr Ne, Issaquah, Washington |
| Authorized Official Name and Position | Jessica Ahn (OWNER) |
| Authorized Official Contact | 4254147001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-5626 Ph: (714) 845-8900 | 1416 Highlands Dr Ne Suite 120 Issaquah WA 98029-6240 Ph: (425) 557-9000 |
| NPI Number | 1962824243 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962824243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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