| Petersen And Weller Dds Pllc | |
|
22833 Bothell Everett Hwy Se Ste #205 Bothell WA 98021 | |
| (425) 485-6540 | |
| (425) 486-1740 |
| Full Name | Petersen And Weller Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22833 Bothell Everett Hwy Se, Bothell, Washington |
| Authorized Official Name and Position | Michelle Marie Beyer (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 4254856540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersen And Weller Dds Pllc 22833 Bothell Everett Hwy Se Ste #205 Bothell WA 98021 Ph: (425) 485-6540 | Petersen And Weller Dds Pllc 22833 Bothell Everett Hwy Se Ste #205 Bothell WA 98021 Ph: (425) 485-6540 |
| NPI Number | 1417960782 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417960782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5471 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | 8485 (Washington) | Secondary |
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