| Kalm Dental Spa | |
|
909 112th Ave Ne Suite P-104 Bellevue WA 98004-8580 | |
| (425) 409-9999 | |
| (888) 507-5181 |
| Full Name | Kalm Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 909 112th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Beau J Keller (OWNER) |
| Authorized Official Contact | 4257602704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalm Dental Spa 909 112th Ave Ne Suite P-104 Bellevue WA 98004-8580 Ph: (425) 409-9999 | Kalm Dental Spa 909 112th Ave Ne Suite P-104 Bellevue WA 98004-8580 Ph: (425) 409-9999 |
| NPI Number | 1619350857 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619350857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D009161 (Arizona) | Secondary |
| 122300000X | Dentist | DE00011082 (Washington) | Primary |
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