| Lake Sammamish Family Dentistry | |
|
5712 E Lake Sammamish Pkwy Se Ste 108 Issaquah WA 98029-8943 | |
| (425) 392-3900 | |
| Not Available |
| Full Name | Lake Sammamish Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5712 E Lake Sammamish Pkwy Se, Issaquah, Washington |
| Authorized Official Name and Position | Anna Lisin (DENTIST) |
| Authorized Official Contact | 4253923900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Sammamish Family Dentistry 5712 E Lake Sammamish Pkwy Se Ste 108 Issaquah WA 98029-8943 Ph: (425) 392-3900 | Lake Sammamish Family Dentistry 5712 E Lake Sammamish Pkwy Se Ste 108 Issaquah WA 98029-8943 Ph: (425) 392-3900 |
| NPI Number | 1093036709 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093036709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60065361 (Washington) | Primary |
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