# KIRKLAND PREMIER DENTISTRY LLC

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

## Provider details

- **NPI number:** 1700290798
- **Authorized official:** PETER WONG DDS (OWNER)
- **Authorized official phone:** (425) 284-3881

## Contact information

- **Practice address:** 10601 NE 68TH ST, KIRKLAND, WA 98033-7054
- **Practice address phone:** (425) 284-3881
- **Practice address fax:** (425) 284-3882
- **Mailing address:** 6298 167TH AVE SE, BELLEVUE, WA 98006-5645
- **Mailing address phone:** (425) 284-3881
- **Mailing address fax:** (425) 284-3882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009084 | WA | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 06/17/2014