| Davinci Dental | |
|
909 112th Ave Ne Ste P104 Davinci Dental Bellevue WA 98004-8589 | |
| (425) 409-9999 | |
| Not Available |
| Full Name | Davinci Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 909 112th Ave Ne Ste P104, Bellevue, Washington |
| Authorized Official Name and Position | Beau Jerome Keller (DENTIST) |
| Authorized Official Contact | 4254099999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davinci Dental 909 112th Ave Ne Ste P104 Davinvi Dental Bellevue WA 98004-8589 Ph: (425) 409-9999 | Davinci Dental 909 112th Ave Ne Ste P104 Davinci Dental Bellevue WA 98004-8589 Ph: (425) 409-9999 |
| NPI Number | 1366822017 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366822017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60555911 (Washington) | Primary |
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