| Sunrise Dental Of Bonney Lake | |
|
20071 State Route 410 E Bonney Lake WA 98391-8460 | |
| (253) 862-1015 | |
| Not Available |
| Full Name | Sunrise Dental Of Bonney Lake |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20071 State Route 410 E, Bonney Lake, Washington |
| Authorized Official Name and Position | Andy Hsu (CO-OWNER/DENTIST) |
| Authorized Official Contact | 2538621015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Of Bonney Lake 20071 State Route 410 E Bonney Lake WA 98391-8460 Ph: (253) 862-1015 | Sunrise Dental Of Bonney Lake 20071 State Route 410 E Bonney Lake WA 98391-8460 Ph: (253) 862-1015 |
| NPI Number | 1467771691 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 05/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467771691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10544 (Washington) | Primary |
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