# OVERLAKE FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellevue Overlake Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265086029
- **Authorized official:** DR. MONICA YU DMD (DENTIST)
- **Authorized official phone:** (206) 898-6970

## Contact information

- **Practice address:** 2020 116TH AVE NE STE 220, BELLEVUE, WA 98004-3059
- **Practice address phone:** (425) 453-9999
- **Practice address fax:** (425) 453-7728
- **Mailing address:** 20612 88TH AVE W, EDMONDS, WA 98026-6656
- **Mailing address phone:** (206) 898-6970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2019
- **Last updated:** 07/30/2019
