| Bothell Pediatric Dentistry | |
|
18807 Beardslee Blvd Suite 103 Bothell WA 98011-1712 | |
| (425) 486-6300 | |
| (425) 487-6498 |
| Full Name | Bothell Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18807 Beardslee Blvd, Bothell, Washington |
| Authorized Official Name and Position | Yoo-lee Yea (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2068527338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bothell Pediatric Dentistry 18807 Beardslee Blvd Suite 103 Bothell WA 98011-1712 Ph: (425) 486-6300 | Bothell Pediatric Dentistry 18807 Beardslee Blvd Suite 103 Bothell WA 98011-1712 Ph: (425) 486-6300 |
| NPI Number | 1649630948 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649630948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00009955 (Washington) | Primary |
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