| Bruchal Orthodontics | |
|
12900 Ne 180th St Ste 215 Bothell WA 98011-5773 | |
| (425) 939-8428 | |
| (425) 939-8418 |
| Full Name | Bruchal Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12900 Ne 180th St Ste 215, Bothell, Washington |
| Authorized Official Name and Position | Trina Marie Bruchal (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 4259398428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruchal Orthodontics 12900 Ne 180th St Ste 215 Bothell WA 98011-5773 Ph: (425) 939-8428 | Bruchal Orthodontics 12900 Ne 180th St Ste 215 Bothell WA 98011-5773 Ph: (425) 939-8428 |
| NPI Number | 1033411053 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033411053 | NPI | - | NPPES |
| 1023208501 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010886 (Washington) | Primary |
Blake Herbison Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18520 101st Ave Ne, Bothell, WA 98011 Phone: 425-486-2727 | |
Fernando Caballero, Dds And Isabel Perez Dds. Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11511 Ne 195th St, #104, Bothell, WA 98011 Phone: 425-481-5302 | |
Creekside Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19214 Bothell Way Ne, Suite C, Bothell, WA 98011 Phone: 425-485-0300 Fax: 425-402-9186 | |
Dba Tlc Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22703 Bothell Everett Hwy, Suite E, Bothell, WA 98021 Phone: 425-488-1480 Fax: 425-489-9997 | |
Ross L Taylor, P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7317 N.e. 141st Street, Bothell, WA 98011 Phone: 425-823-8803 | |
Hwang Choi Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17917 Bothell Everett Hwy Ste 305, Bothell, WA 98012 Phone: 425-481-1038 Fax: 425-483-3158 |