| |
15230 Ne 24th St Suite N Redmond WA 98052-5540 | |
(425) 641-5140 | |
(425) 641-5160 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 15230 Ne 24th St, Redmond, Washington |
Authorized Official Name and Position | Steve Kee Hwang (OWNER) |
Authorized Official Contact | 4256415140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15230 Ne 24th St Suite N Redmond WA 98052-5540 Ph: (425) 641-5140 | 15230 Ne 24th St Suite N Redmond WA 98052-5540 Ph: (425) 641-5140 |
NPI Number | 1124497466 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124497466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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