# BELLA MAKAGON DENTISTRY, PS

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

## Provider details

- **NPI number:** 1578832754
- **Authorized official:** DR. BELLA MAKAGON DMD (PRESIDENT)
- **Authorized official phone:** (425) 516-4167

## Contact information

- **Practice address:** 116 FAIRVIEW AVE N, SUITE 148, SEATTLE, WA 98109-5360
- **Practice address phone:** (206) 682-7942
- **Practice address fax:** (206) 701-7965
- **Mailing address:** 16681 NE 121ST WAY, REDMOND, WA 98052-1208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 60058471 | WA | Yes |

## Other

- **Enumeration date:** 12/19/2011
- **Last updated:** 12/19/2011
