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40 Lake Bellevue Dr Ste 250 Bellevue WA 98005-2478 | |
(425) 209-0700 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 40 Lake Bellevue Dr Ste 250, Bellevue, Washington |
Authorized Official Name and Position | Nicholas James Koogler (OWNER) |
Authorized Official Contact | 6143711830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7219 221st Ave Ne Redmond WA 98053-5927 Ph: (614) 371-1830 | 40 Lake Bellevue Dr Ste 250 Bellevue WA 98005-2478 Ph: (425) 209-0700 |
NPI Number | 1578285086 |
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Provider Enumeration Date | 09/13/2022 |
Last Update Date | 11/03/2023 |
Medicare PECOS PAC ID | 9335517960 |
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Medicare Enrollment ID | O20221201001777 |
Identifier | Type | State | Issuer |
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1578285086 | NPI | - | NPPES |
Dara Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4935 Lakemont Blvd Se Ste B3, Bellevue, WA 98006 Phone: 425-746-2101 | |
Navneet K Sekhon Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12917 Se 38th St Ste 206, Bellevue, WA 98006 Phone: 425-641-2960 | |
Marcus K. Flynn Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Factoria Blvd Se Ste A, Bellevue, WA 98006 Phone: 425-641-8600 |