| Tripti Pawar Bds Msd Pllc | |
|
505 E Sunset Way Issaquah WA 98027-3438 | |
| (425) 392-0980 | |
| Not Available |
| Full Name | Tripti Pawar Bds Msd Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 E Sunset Way, Issaquah, Washington |
| Authorized Official Name and Position | Tripti Pawar (OWNER) |
| Authorized Official Contact | 4253920980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tripti Pawar Bds Msd Pllc 505 E Sunset Way Issaquah WA 98027-3438 Ph: (425) 392-0980 | Tripti Pawar Bds Msd Pllc 505 E Sunset Way Issaquah WA 98027-3438 Ph: (425) 392-0980 |
| NPI Number | 1396492039 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 6103213418 |
|---|---|
| Medicare Enrollment ID | O20220504002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396492039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Tripti Pawar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013210939 PECOS PAC ID: 8022399880 Enrollment ID: I20220504002534 |
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