| Pine Lake Dental Care | |
|
22727 Se 29th St Sammamish WA 98075-9532 | |
| (425) 392-2103 | |
| (425) 313-9705 |
| Full Name | Pine Lake Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22727 Se 29th St, Sammamish, Washington |
| Authorized Official Name and Position | Christopher C Robertson (PRESIDENT) |
| Authorized Official Contact | 4253922103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Lake Dental Care 22727 Se 29th St Sammamish WA 98075-9532 Ph: (425) 392-2103 | Pine Lake Dental Care 22727 Se 29th St Sammamish WA 98075-9532 Ph: (425) 392-2103 |
| NPI Number | 1144352246 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144352246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE8677 (Washington) | Primary |
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