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2000 116th Ave Ne Bellevue WA 98004-3047 | |
| (425) 998-5090 | |
| (425) 998-5099 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2000 116th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Rogelio Riojas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2067883226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | 2000 116th Ave Ne Bellevue WA 98004-3047 Ph: (425) 998-5090 |
| NPI Number | 1942665831 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942665831 | NPI | - | NPPES |
| 2049110 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6005372781 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 |