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14411 Ambaum Blvd Sw Ste B Burien WA 98166-1423 | |
| (602) 620-4105 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14411 Ambaum Blvd Sw Ste B, Burien, Washington |
| Authorized Official Name and Position | Sofia Kennel (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6026204105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14411 Ambaum Blvd Sw Ste B Burien WA 98166-1423 Ph: () - | 14411 Ambaum Blvd Sw Ste B Burien WA 98166-1423 Ph: (602) 620-4105 |
| NPI Number | 1053022798 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053022798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mehran Varedi Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14027 Ambaum Blvd Sw Ste A1, Burien, WA 98166 Phone: 206-244-1618 | |
Robert P Ward, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15515 3rd Ave Sw, Ste B, Burien, WA 98166 Phone: 206-242-8600 Fax: 206-248-2464 | |
Benjamin Johnson Dds, Pllc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Sw 160th St Ste 115, Burien, WA 98166 Phone: 425-277-1844 | |
Davis Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14212 Ambaum Blvd Sw, Suite 100, Burien, WA 98166 Phone: 206-762-8433 |