| Premier Orthodontics | |
|
23535 Ne Novelty Hill Rd # D308 Redmond WA 98053-5502 | |
| (253) 642-6301 | |
| Not Available |
| Full Name | Premier Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 23535 Ne Novelty Hill Rd # D308, Redmond, Washington |
| Authorized Official Name and Position | Roselind S Nam (ORTHODONTIST) |
| Authorized Official Contact | 2536426301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Orthodontics 9901 Se Shoreland Dr Bellevue WA 98004-6508 Ph: (253) 642-6301 | Premier Orthodontics 23535 Ne Novelty Hill Rd # D308 Redmond WA 98053-5502 Ph: (253) 642-6301 |
| NPI Number | 1902356058 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902356058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE60139654 (Washington) | Primary |
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