| Pacific Northwest Dental Anesthesia Services Llc | |
|
9004 W Shorewood Dr Apt 519 Mercer Island WA 98040-3245 | |
| (425) 214-3960 | |
| Not Available |
| Full Name | Pacific Northwest Dental Anesthesia Services Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 9004 W Shorewood Dr, Mercer Island, Washington |
| Authorized Official Name and Position | Geoffrey Timothy Bean (OWNER) |
| Authorized Official Contact | 4252143960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Dental Anesthesia Services Llc 9004 W Shorewood Dr Apt 519 Mercer Island WA 98040-3245 Ph: (425) 214-3960 | Pacific Northwest Dental Anesthesia Services Llc 9004 W Shorewood Dr Apt 519 Mercer Island WA 98040-3245 Ph: (425) 214-3960 |
| NPI Number | 1003284134 |
|---|---|
| Provider Enumeration Date | 09/06/2015 |
| Last Update Date | 09/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003284134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | GA60587955 (Washington) | Primary |
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