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Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Bellevue Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORNELAS (OWNER)
(405) 504-6218
Entity
Organization
Contact information
Practice address
2235 148TH AVE NE, BELLEVUE, WA 98007-3726
(425) 458-3850
(425) 654-0113
Mailing address
PO BOX 920050, DALLAS, TX 75392-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
12/26/2023
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