| Surprise Lake Dental | |
|
900 Meridian E Ste 27 Ste.27 Milton WA 98354-7003 | |
| (253) 922-5401 | |
| (253) 926-8048 |
| Full Name | Surprise Lake Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 Meridian E Ste 27, Milton, Washington |
| Authorized Official Name and Position | Ken M Shou (PRESIDENT) |
| Authorized Official Contact | 2539225401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Lake Dental 900 Meridian E Ste 27 Ste.27 Milton WA 98354-7003 Ph: (253) 922-5401 | Surprise Lake Dental 900 Meridian E Ste 27 Ste.27 Milton WA 98354-7003 Ph: (253) 922-5401 |
| NPI Number | 1073835195 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073835195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Reign Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2748 Milton Way Ste 202, Milton, WA 98354 Phone: 253-927-5501 | |
Sung Han Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Meridian E Ste 27, Milton, WA 98354 Phone: 253-922-5401 | |
Surprise Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Meridian E, Ste. 27, Milton, WA 98354 Phone: 253-922-5401 Fax: 253-926-8048 | |
Surprise Lake Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Meridian E, Ste 27, Milton, WA 98354 Phone: 253-922-5401 |