Premier Periodontics Pplc | |
10050 Ne 10th St Suite C Bellevue WA 98004 | |
(425) 455-2020 | |
(425) 455-0310 |
Full Name | Premier Periodontics Pplc |
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Speciality | Dentist - Periodontics |
Location | 10050 Ne 10th St Suite C, Bellevue, Washington |
Authorized Official Name and Position | Will S Fernyhough (DOCTOR) |
Authorized Official Contact | 4254552020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Periodontics Pplc 10050 Ne 10th St Suite C Bellevue WA 98004 Ph: (425) 455-2020 | Premier Periodontics Pplc 10050 Ne 10th St Suite C Bellevue WA 98004 Ph: (425) 455-2020 |
NPI Number | 1508102120 |
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Provider Enumeration Date | 12/31/2012 |
Last Update Date | 01/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508102120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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