| Regenerative Sleep & Tmj | |
|
15955 85 Ne St Redmond WA 98052-3550 | |
| (360) 322-6934 | |
| Not Available |
| Full Name | Regenerative Sleep & Tmj |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15955 85 Ne St, Redmond, Washington |
| Authorized Official Name and Position | Alan D Erickson (OWNER) |
| Authorized Official Contact | 4253309959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Sleep & Tmj 16410 Smokey Point Blvd Ste 107 Arlington WA 98223-8415 Ph: (360) 322-6934 | Regenerative Sleep & Tmj 15955 85 Ne St Redmond WA 98052-3550 Ph: (360) 322-6934 |
| NPI Number | 1164234845 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164234845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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