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Organization
BLAKE DAVIS PLLC
Active
Organization
BLAKE DAVIS PLLC
Active
Other names
Kirkland and Redmond Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI HANIGAN (OPERATIONS DIRECTOR)
(425) 821-0808
Entity
Organization
Contact information
Practice address
12819 120TH AVE NE STE H, KIRKLAND, WA 98034-3002
(425) 821-0808
Mailing address
12819 120TH AVE NE STE H, KIRKLAND, WA 98034-3002
(425) 821-0808
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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