| Premier Orthodontics | |
|
23535 Ne Novelty Hill Rd # D308 Redmond WA 98053-5502 | |
| (425) 868-7770 | |
| (425) 868-7718 |
| Full Name | Premier Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23535 Ne Novelty Hill Rd # D308, Redmond, Washington |
| Authorized Official Name and Position | Thian Srisurapol (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 4803263140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Orthodontics 12819 Renton Ave S Seattle WA 98178-4849 Ph: (480) 326-3140 | Premier Orthodontics 23535 Ne Novelty Hill Rd # D308 Redmond WA 98053-5502 Ph: (425) 868-7770 |
| NPI Number | 1528673902 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 10/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528673902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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