| Mobile Dent Inc Ps | |
|
13300 Se 30th St Suite 101 Bellevue WA 98005 | |
| (425) 747-5424 | |
| (425) 746-6332 |
| Full Name | Mobile Dent Inc Ps |
|---|---|
| Speciality | Dentist |
| Location | 13300 Se 30th St Suite 101, Bellevue, Washington |
| Authorized Official Name and Position | Peter E Moore (DENTIST PRESIDENT) |
| Authorized Official Contact | 4257475424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dent Inc Ps 13300 Se 30th St Suite 101 Bellevue WA 98005 Ph: (425) 747-5424 | Mobile Dent Inc Ps 13300 Se 30th St Suite 101 Bellevue WA 98005 Ph: (425) 747-5424 |
| NPI Number | 1811026628 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811026628 | NPI | - | NPPES |
| 5531108 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5092 (Washington) | Primary |
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