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Organization
NICHOLAS KOOGLER DDS PLLC
Active
Organization
NICHOLAS KOOGLER DDS PLLC
Active
Other names
Cascade Integrative Dentistry, Washington Center for Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JAMES KOOGLER DDS (OWNER)
(614) 371-1830
Entity
Organization
Contact information
Practice address
40 LAKE BELLEVUE DR STE 250, BELLEVUE, WA 98005-2478
(425) 209-0700
Mailing address
7219 221ST AVE NE, REDMOND, WA 98053-5927
(614) 371-1830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
09/13/2022
Last updated
11/03/2023
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