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11216 Ne 15th St Ste A Bellevue WA 98004-3724 | |
(425) 289-8159 | |
Not Available |
Full Name | |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 11216 Ne 15th St Ste A, Bellevue, Washington |
Authorized Official Name and Position | Clara H Song (OWNER) |
Authorized Official Contact | 4256865522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11216 Ne 15th St Ste A Bellevue WA 98004-3724 Ph: (425) 289-8159 | 11216 Ne 15th St Ste A Bellevue WA 98004-3724 Ph: (425) 289-8159 |
NPI Number | 1023778750 |
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Provider Enumeration Date | 12/21/2021 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 3072952191 |
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Medicare Enrollment ID | O20240422001662 |
Identifier | Type | State | Issuer |
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1023778750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (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 |