| Endo Nw Bellevue | |
|
1545 116th Ave Ne Suite 102 Bellevue WA 98004-3813 | |
| (425) 454-4582 | |
| (425) 646-9430 |
| Full Name | Endo Nw Bellevue |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1545 116th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Kevin Y Choi (OWNER) |
| Authorized Official Contact | 4254544582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endo Nw Bellevue 1545 116th Ave Ne Suite 102 Bellevue WA 98004-3813 Ph: (425) 454-4582 | Endo Nw Bellevue 1545 116th Ave Ne Suite 102 Bellevue WA 98004-3813 Ph: (425) 454-4582 |
| NPI Number | 1790009207 |
|---|---|
| Provider Enumeration Date | 03/26/2010 |
| Last Update Date | 03/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790009207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 7999 (Washington) | Primary |
| 1223E0200X | Dentist - Endodontics | 4517 (Washington) | Secondary |
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