| Totem Lake Family Dentistry | |
|
11903 Ne 128th St Suite D Kirkland WA 98034-7209 | |
| (425) 820-0900 | |
| Not Available |
| Full Name | Totem Lake Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 11903 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Michelle Mayo (BUSINESS MANAGER) |
| Authorized Official Contact | 2069632443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Totem Lake Family Dentistry 11903 Ne 128th St Suite D Kirkland WA 98034-7209 Ph: (425) 820-0900 | Totem Lake Family Dentistry 11903 Ne 128th St Suite D Kirkland WA 98034-7209 Ph: (425) 820-0900 |
| NPI Number | 1427475862 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427475862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7263 (Washington) | Primary |
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