| Golden Age Dentistry | |
|
1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 | |
| (425) 467-8494 | |
| Not Available |
| Full Name | Golden Age Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 112th Ave Se Ste 100, Bellevue, Washington |
| Authorized Official Name and Position | Michelle Leanne Downey Caldier (PRESIDENT) |
| Authorized Official Contact | 2068983883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Age Dentistry 1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 Ph: () - | Golden Age Dentistry 1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 Ph: (425) 467-8494 |
| NPI Number | 1841461969 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841461969 | NPI | - | NPPES |
| 5037270 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009132 (Washington) | Primary |
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