| Lakeview Dental | |
|
5710 Bothell Way Ne Ste. 5 Kenmore WA 98028 | |
| (425) 488-1405 | |
| Not Available |
| Full Name | Lakeview Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5710 Bothell Way Ne, Kenmore, Washington |
| Authorized Official Name and Position | Benjamin Dorantes (OWNER) |
| Authorized Official Contact | 2063803885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental 5710 Bothell Way Ne Ste. 5 Kenmore WA 98028 Ph: (425) 488-1405 | Lakeview Dental 5710 Bothell Way Ne Ste. 5 Kenmore WA 98028 Ph: (425) 488-1405 |
| NPI Number | 1760732580 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760732580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1223G0001X (Washington) | Primary |
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