| Artisan Dental Bellevue | |
|
188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 | |
| (425) 454-2005 | |
| (425) 454-1360 |
| Full Name | Artisan Dental Bellevue |
|---|---|
| Speciality | Clinic/Center |
| Location | 188 106th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Syeda Bakhtawar (DENTIST OWNER) |
| Authorized Official Contact | 4128600696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Artisan Dental Bellevue 188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 Ph: (425) 454-2005 | Artisan Dental Bellevue 188 106th Ave Ne Suite #410 Bellevue WA 98004-5965 Ph: (425) 454-2005 |
| NPI Number | 1144776022 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 03/13/2017 |
| Medicare PECOS PAC ID | 5890062616 |
|---|---|
| Medicare Enrollment ID | O20170607001460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144776022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60238596 (Washington) | Primary |
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