| The Little Smile Loft | |
|
309 Ne 103rd St Ste 2b Seattle WA 98125-7100 | |
| (202) 701-0916 | |
| Not Available |
| Full Name | The Little Smile Loft |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 309 Ne 103rd St Ste 2b, Seattle, Washington |
| Authorized Official Name and Position | Tiffany Jacobs (OWNER) |
| Authorized Official Contact | 2027010916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Little Smile Loft 10712 Se 2nd St Bellevue WA 98004-5286 Ph: (202) 701-0916 | The Little Smile Loft 309 Ne 103rd St Ste 2b Seattle WA 98125-7100 Ph: (202) 701-0916 |
| NPI Number | 1245085927 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245085927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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