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Organization
MOBILE DENT INC PS
Active
Organization
MOBILE DENT INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E MOORE DDS (DENTIST PRESIDENT)
(425) 747-5424
Entity
Organization
Contact information
Practice address
13300 SE 30TH ST SUITE 101, BELLEVUE, WA 98005
(425) 747-5424
(425) 746-6332
Mailing address
13300 SE 30TH ST SUITE 101, BELLEVUE, WA 98005
(425) 747-5424
(425) 746-6332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5092
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5531108
—
WA
Enumeration date
03/05/2007
Last updated
08/22/2020
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