| Maple Valley Dentistry Professionals | |
|
24015 Se Kent Kangley Rd Suite C Maple Valley WA 98038-6802 | |
| (425) 433-0600 | |
| (425) 433-0877 |
| Full Name | Maple Valley Dentistry Professionals |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24015 Se Kent Kangley Rd, Maple Valley, Washington |
| Authorized Official Name and Position | Bernardo Ezequiel Taina (PRESIDENT) |
| Authorized Official Contact | 4254330600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Valley Dentistry Professionals 24015 Se Kent Kangley Rd Suite C Maple Valley WA 98038-6802 Ph: (425) 433-0600 | Maple Valley Dentistry Professionals 24015 Se Kent Kangley Rd Suite C Maple Valley WA 98038-6802 Ph: (425) 433-0600 |
| NPI Number | 1023338522 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023338522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009306 (Washington) | Primary |
L Carlos Morales DDS PS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23925 225th Way Se, Ste A, Maple Valley, WA 98038 Phone: 425-432-0561 Fax: 425-432-2938 |
Joel M Rude DMD PS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22142 Se 237th Street, Maple Valley, WA 98038 Phone: 425-432-1292 Fax: 425-432-0192 |
Maple Valley Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27016 Maple Valley Blk Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8525 Fax: 425-413-8599 |
Ludu Sharma PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23866 Se Kent Kangley Rd, Maple Valley, WA 98038 Phone: 425-413-8505 Fax: 425-413-8144 |
Thomas A. Holt DDS PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 Phone: 425-413-8525 Fax: 425-413-8599 |
Robert S Haeger DDS, MS, PS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22443 Se 240th St Ste 100, Maple Valley, WA 98038 Phone: 425-433-8080 |