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16640 Ne 83rd St Redmond WA 98052-3915 | |
(425) 283-8642 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 16640 Ne 83rd St, Redmond, Washington |
Authorized Official Name and Position | Katherine Ostler (DENTIST) |
Authorized Official Contact | 4252838642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16640 Ne 83rd St Redmond WA 98052-3915 Ph: (425) 283-8642 | 16640 Ne 83rd St Redmond WA 98052-3915 Ph: (425) 283-8642 |
NPI Number | 1629330956 |
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Provider Enumeration Date | 06/12/2012 |
Last Update Date | 06/12/2012 |
Identifier | Type | State | Issuer |
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1629330956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE 00009478 (Washington) | Primary |
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