| M. Clark Blanchard Dds Pllc | |
|
4301 Factoria Blvd Se Suite A Bellevue WA 98006-1982 | |
| (425) 641-8600 | |
| (425) 641-7730 |
| Full Name | M. Clark Blanchard Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4301 Factoria Blvd Se, Bellevue, Washington |
| Authorized Official Name and Position | Milton Clark Blanchard (OWNER) |
| Authorized Official Contact | 4256418600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Clark Blanchard Dds Pllc 4301 Factoria Blvd Se Bellevue WA 98006-1982 Ph: (425) 641-8600 | M. Clark Blanchard Dds Pllc 4301 Factoria Blvd Se Suite A Bellevue WA 98006-1982 Ph: (425) 641-8600 |
| NPI Number | 1407953862 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407953862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6195 (Washington) | Primary |
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