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Organization
DAYA BHAT DDS MS PLLC
Active
Organization
DAYA BHAT DDS MS PLLC
Active
Other names
Michael Wagner DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DAYA BHAT DDS, MS (DENTIST/OWNER)
(312) 315-7604
Entity
Organization
Contact information
Practice address
13515 NE 175TH ST STE G, WOODINVILLE, WA 98072-8566
(312) 315-7604
Mailing address
13515 NE 175TH ST STE G, WOODINVILLE, WA 98072-8566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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