| Kenmore Smiles Family Dentistry | |
|
6507 Ne 181st St Kenmore WA 98028-4801 | |
| (425) 486-9211 | |
| (425) 402-1093 |
| Full Name | Kenmore Smiles Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6507 Ne 181st St, Kenmore, Washington |
| Authorized Official Name and Position | Bradley S Mott (MEMBER, MANAGER) |
| Authorized Official Contact | 7632275222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenmore Smiles Family Dentistry 6507 Ne 181st St Kenmore WA 98028-4801 Ph: (425) 486-9211 | Kenmore Smiles Family Dentistry 6507 Ne 181st St Kenmore WA 98028-4801 Ph: (425) 486-9211 |
| NPI Number | 1396173704 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 01/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396173704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60091370 (Washington) | Primary |
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