| Nam Pllc | |
|
5613 119th Ave Se Bellevue WA 98006-3715 | |
| (253) 642-6301 | |
| Not Available |
| Full Name | Nam Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5613 119th Ave Se, Bellevue, Washington |
| Authorized Official Name and Position | Roselind Nam (DENTIST/ ORTHODONTIST) |
| Authorized Official Contact | 4258903386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nam Pllc 9901 Se Shoreland Dr Bellevue WA 98004-6508 Ph: (425) 890-3386 | Nam Pllc 5613 119th Ave Se Bellevue WA 98006-3715 Ph: (253) 642-6301 |
| NPI Number | 1649631342 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 03/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649631342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE60139654 (Washington) | Primary |
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