| Bellevue Modern Dentistry | |
|
2235 148th Ave Ne Bellevue WA 98007-3726 | |
| (425) 458-3850 | |
| (425) 654-0113 |
| Full Name | Bellevue Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2235 148th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Michael Ornelas (OWNER) |
| Authorized Official Contact | 4055046218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Modern Dentistry Po Box 920050 Dallas TX 75392-5626 Ph: (714) 845-8890 | Bellevue Modern Dentistry 2235 148th Ave Ne Bellevue WA 98007-3726 Ph: (425) 458-3850 |
| NPI Number | 1457902595 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457902595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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