| Snoqualmie Valley Kids Dentist | |
|
34929 Se Ridge St Ste 220 Snoqualmie WA 98065-6306 | |
| (425) 396-1011 | |
| (425) 396-1258 |
| Full Name | Snoqualmie Valley Kids Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 34929 Se Ridge St Ste 220, Snoqualmie, Washington |
| Authorized Official Name and Position | Lanette Mcintosh (BUSINESS MANAGER) |
| Authorized Official Contact | 4254550784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snoqualmie Valley Kids Dentist 34929 Se Ridge St Ste 220 Snoqualmie WA 98065-6306 Ph: (425) 396-1011 | Snoqualmie Valley Kids Dentist 34929 Se Ridge St Ste 220 Snoqualmie WA 98065-6306 Ph: (425) 396-1011 |
| NPI Number | 1568615052 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568615052 | NPI | - | NPPES |
| 5018171 | Medicaid | WA | |
| 5052956 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4233 (Washington) | Primary |
Carson B Calderwood Dds Pllc, Dba Snoqualmie Falls Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8026 Douglas Ave Se, Suite 200, Snoqualmie, WA 98065 Phone: 425-831-1790 | |
Snoqualmie Valley Kids Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34929 Se Ridge St, Suite 220, Snoqualmie, WA 98065 Phone: 425-396-1011 Fax: 425-396-1258 | |
David R. Primrose, Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 38700 Se River St, Snoqualmie, WA 98065 Phone: 425-888-2703 | |
Shyue & Wu, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7719 Center Blvd Se, Snoqualmie, WA 98065 Phone: 425-396-5555 Fax: 425-396-5022 | |
Snoqualmie Modern Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7713 Center Blvd Se Ste 240, Snoqualmie, WA 98065 Phone: 425-577-7257 | |
Snoqualmie Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 38475 Se River Street, Snoqualmie, WA 98065 Phone: 425-888-2684 Fax: 425-831-2119 |