| Stellar Kids Dentistry | |
|
4420 106th St Sw Mukilteo WA 98275-4700 | |
| (425) 290-5500 | |
| Not Available |
| Full Name | Stellar Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4420 106th St Sw, Mukilteo, Washington |
| Authorized Official Name and Position | Sonu Lamba (OWNER) |
| Authorized Official Contact | 4252905500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Kids Dentistry 4420 106th St Sw Mukilteo WA 98275-4700 Ph: (425) 290-5500 | Stellar Kids Dentistry 4420 106th St Sw Mukilteo WA 98275-4700 Ph: (425) 290-5500 |
| NPI Number | 1427453158 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427453158 | NPI | - | NPPES |
| 2011794 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60197771 (Washington) | Primary |
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