| Northshore Endodontics Pllc | |
|
5701 Ne Bothell Way Suite 1 Kenmore WA 98028 | |
| (425) 488-9785 | |
| (425) 402-0835 |
| Full Name | Northshore Endodontics Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5701 Ne Bothell Way, Kenmore, Washington |
| Authorized Official Name and Position | Jeffrey A Samyn (MANAGER OF NE PLLC) |
| Authorized Official Contact | 4254889785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Endodontics Pllc 5701 Ne Bothell Way Suite 1 Kenmore WA 98028 Ph: (425) 488-9785 | Northshore Endodontics Pllc 5701 Ne Bothell Way Suite 1 Kenmore WA 98028 Ph: (425) 488-9785 |
| NPI Number | 1194828566 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194828566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DE00006931 (Washington) | Primary |
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