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615 Windsor Dr Se Sammamish WA 98074-3422 | |
(253) 326-7777 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 615 Windsor Dr Se, Sammamish, Washington |
Authorized Official Name and Position | Shradha Bansal (OWNER) |
Authorized Official Contact | 4258912461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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615 Windsor Dr Se Sammamish WA 98074-3422 Ph: () - | 615 Windsor Dr Se Sammamish WA 98074-3422 Ph: (253) 326-7777 |
NPI Number | 1275989196 |
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Provider Enumeration Date | 05/10/2016 |
Last Update Date | 05/10/2016 |
Identifier | Type | State | Issuer |
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1275989196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 8920 (Washington) | Primary |
Rhonda Newton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 228th Ave Ne, Sammamish, WA 98074 Phone: 425-868-0123 Fax: 425-868-0714 | |