| Juanita Family Dentistry | |
|
13611 100th Ave Ne Kirkland WA 98034-5234 | |
| (425) 821-3388 | |
| Not Available |
| Full Name | Juanita Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 13611 100th Ave Ne, Kirkland, Washington |
| Authorized Official Name and Position | Chelsea D'nichole Mortell (DENTIST/OWNER) |
| Authorized Official Contact | 4258213388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Family Dentistry 13611 100th Ave Ne Kirkland WA 98034-5234 Ph: () - | Juanita Family Dentistry 13611 100th Ave Ne Kirkland WA 98034-5234 Ph: (425) 821-3388 |
| NPI Number | 1609244110 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609244110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60287180 (Washington) | Primary |
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