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5701 Ne Bothell Way Suite 6 Kenmore WA 98028-9400 | |
| (425) 486-2715 | |
| (425) 486-5782 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5701 Ne Bothell Way, Kenmore, Washington |
| Authorized Official Name and Position | Jennifer S Emerson (OWNER) |
| Authorized Official Contact | 4254862715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5701 Ne Bothell Way Suite 6 Kenmore WA 98028-9400 Ph: (425) 486-2715 | 5701 Ne Bothell Way Suite 6 Kenmore WA 98028-9400 Ph: (425) 486-2715 |
| NPI Number | 1184000424 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184000424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009626 (Washington) | Primary |
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Northshore Endodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Ne Bothell Way, Suite 1, Kenmore, WA 98028 Phone: 425-488-9785 Fax: 425-402-0835 | |
Carol Lin Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Ne Bothell Way Ste 5, Kenmore, WA 98028 Phone: 425-488-1405 | |