# NORTHSHORE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558785030
- **Authorized official:** DR. CHRISTOPHER KINDEM D.D.S. (DENTIST)
- **Authorized official phone:** (425) 486-6511

## Contact information

- **Practice address:** 6502 NE 181ST ST, KENMORE, WA 98028-4802
- **Practice address phone:** (425) 486-6511
- **Practice address fax:** (425) 486-8915
- **Mailing address:** 6502 NE 181ST ST, KENMORE, WA 98028-4802
- **Mailing address phone:** (425) 486-6511
- **Mailing address fax:** (425) 486-8915

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 02/05/2014