# CHELSEA D MORTELL DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Juanita Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609244110
- **Authorized official:** DR. CHELSEA D'NICHOLE MORTELL DMD (DENTIST/OWNER)
- **Authorized official phone:** (425) 821-3388

## Contact information

- **Practice address:** 13611 100TH AVE NE, KIRKLAND, WA 98034-5234
- **Practice address phone:** (425) 821-3388
- **Mailing address:** 13611 100TH AVE NE, KIRKLAND, WA 98034-5234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60287180 | WA | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015