Seablue Dental | |
23914 100th Ave Se Ste 100 Kent WA 98031-4234 | |
(253) 336-3000 | |
(253) 336-3050 |
Full Name | Seablue Dental |
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Speciality | Dentist |
Location | 23914 100th Ave Se Ste 100, Kent, Washington |
Authorized Official Name and Position | Rashmi Malhotra (DENTIST) |
Authorized Official Contact | 2533363000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seablue Dental 23914 100th Ave Se Ste 100 Kent WA 98031-4234 Ph: (253) 336-3000 | Seablue Dental 23914 100th Ave Se Ste 100 Kent WA 98031-4234 Ph: (253) 336-3000 |
NPI Number | 1992364418 |
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Provider Enumeration Date | 06/08/2019 |
Last Update Date | 03/24/2022 |
Medicare PECOS PAC ID | 8325403082 |
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Medicare Enrollment ID | O20230502001683 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992364418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | Rashmi Malhotra |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1043668395 PECOS PAC ID: 5597038430 Enrollment ID: I20170829001691 |
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