|
| |
|
14730 Ne 8th St Ste. 105 Bellevue WA 98007-4116 | |
| (425) 649-0800 | |
| (425) 649-0806 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14730 Ne 8th St, Bellevue, Washington |
| Authorized Official Name and Position | Gannon Blake Stahl (OWNER) |
| Authorized Official Contact | 4256490800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14730 Ne 8th St Ste. 105 Bellevue WA 98007-4116 Ph: (425) 649-0800 | 14730 Ne 8th St Ste. 105 Bellevue WA 98007-4116 Ph: (425) 649-0800 |
| NPI Number | 1497912968 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497912968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010985 (Washington) | Primary |
Dara Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4935 Lakemont Blvd Se Ste B3, Bellevue, WA 98006 Phone: 425-746-2101 | |
Navneet K Sekhon Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12917 Se 38th St Ste 206, Bellevue, WA 98006 Phone: 425-641-2960 | |
Marcus K. Flynn Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Factoria Blvd Se Ste A, Bellevue, WA 98006 Phone: 425-641-8600 |