| Kirkland Kids Dentistry | |
|
13118 121st Way Ne Suite 103 Kirkland WA 98034-3004 | |
| (716) 725-4676 | |
| Not Available |
| Full Name | Kirkland Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13118 121st Way Ne, Kirkland, Washington |
| Authorized Official Name and Position | Allyson Stewart Dkeidek (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7167254676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirkland Kids Dentistry 13118 121st Way Ne Suite 103 Kirkland WA 98034-3004 Ph: (716) 725-4676 | Kirkland Kids Dentistry 13118 121st Way Ne Suite 103 Kirkland WA 98034-3004 Ph: (716) 725-4676 |
| NPI Number | 1306225511 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306225511 | NPI | - | NPPES |
| 2008604 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 60124299 (Washington) | Primary |
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