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5723 Ne Bothell Way Ste A Kenmore WA 98028-9404 | |
| (206) 525-2813 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5723 Ne Bothell Way Ste A, Kenmore, Washington |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5723 Ne Bothell Way Ste A Kenmore WA 98028-9404 Ph: (206) 525-2813 | 5723 Ne Bothell Way Ste A Kenmore WA 98028-9404 Ph: (206) 525-2813 |
| NPI Number | 1336630615 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336630615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Carol Lin Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Ne Bothell Way Ste 5, Kenmore, WA 98028 Phone: 425-488-1405 | |