# HOUSE, LEE, MAST, MCDONALD AND NELSON, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
- **Other names:** Bellevue Kids Dentist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063657393
- **Legal business name:** HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
- **Authorized official:** LA NETTE MCINTOSH DO (REGIONAL OFFICE MANAGER)
- **Authorized official phone:** (425) 396-1011

## Contact information

- **Practice address:** 2150 112TH AVE NE STE A, BELLEVUE, WA 98004-2939
- **Practice address phone:** (425) 455-0784
- **Practice address fax:** (425) 451-3999
- **Mailing address:** 2150 112TH AVE NE STE A, BELLEVUE, WA 98004-2939
- **Mailing address phone:** (425) 455-0784
- **Mailing address fax:** (425) 451-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008547 | WA | Yes |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 12/30/2020