| Kids Smile Factoria Children Dentistry | |
|
12826 Se 40th Ln Ste 101 Bellevue WA 98006-5266 | |
| (425) 679-6826 | |
| (425) 679-6234 |
| Full Name | Kids Smile Factoria Children Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12826 Se 40th Ln Ste 101, Bellevue, Washington |
| Authorized Official Name and Position | Lisa Euisuk Yu (PRESIDENT) |
| Authorized Official Contact | 4256796826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Smile Factoria Children Dentistry 12826 Se 40th Ln Ste 101 Bellevue WA 98006-5266 Ph: (425) 679-6826 | Kids Smile Factoria Children Dentistry 12826 Se 40th Ln Ste 101 Bellevue WA 98006-5266 Ph: (425) 679-6826 |
| NPI Number | 1841571254 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841571254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60025173 (Washington) | Primary |
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