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Organization
LAKE BELLEVUE DENTAL CARE, INC
Active
Organization
LAKE BELLEVUE DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ANDERSEN DDS (DENTIST/PRACTICE OWNER)
(425) 453-2030
Entity
Organization
Contact information
Practice address
1 LAKE BELLEVUE DR STE 108, BELLEVUE, WA 98005-2417
(425) 453-2030
(425) 505-2382
Mailing address
1 LAKE BELLEVUE DR STE 108, BELLEVUE, WA 98005-2417
(425) 453-2030
(425) 505-2382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60014812
WA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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