| Nolan L. Gerlach D.d.s., P.l.l.c. | |
|
875 140th Ave Ne Suite 200 Bellevue WA 98005-3400 | |
| (425) 614-3777 | |
| (425) 641-1960 |
| Full Name | Nolan L. Gerlach D.d.s., P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 875 140th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Nolan Louis Gerlach (OWNER) |
| Authorized Official Contact | 2068546317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nolan L. Gerlach D.d.s., P.l.l.c. 16604 Se 17th Pl Bellevue WA 98008-5125 Ph: (206) 854-6317 | Nolan L. Gerlach D.d.s., P.l.l.c. 875 140th Ave Ne Suite 200 Bellevue WA 98005-3400 Ph: (425) 614-3777 |
| NPI Number | 1972816460 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972816460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60130018 (Washington) | Primary |
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