| Forum Dental Group, Llc | |
|
15129 Main St Suite 202 Mill Creek WA 98012-9036 | |
| (425) 357-1818 | |
| Not Available |
| Full Name | Forum Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15129 Main St, Mill Creek, Washington |
| Authorized Official Name and Position | Michael G Lamarche (OWNER) |
| Authorized Official Contact | 4253571818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forum Dental Group, Llc 15129 Main St Suite 202 Mill Creek WA 98012-9036 Ph: (425) 357-1818 | Forum Dental Group, Llc 15129 Main St Suite 202 Mill Creek WA 98012-9036 Ph: (425) 357-1818 |
| NPI Number | 1720445737 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720445737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00004762 (Washington) | Primary |
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