# MICHELLE L. D. CALDIER, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Age Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841461969
- **Authorized official:** DR. MICHELLE LEANNE DOWNEY CALDIER (PRESIDENT)
- **Authorized official phone:** (206) 898-3883

## Contact information

- **Practice address:** 1400 112TH AVE SE STE 100, BELLEVUE, WA 98004-6901
- **Practice address phone:** (425) 467-8494
- **Mailing address:** 1400 112TH AVE SE STE 100, BELLEVUE, WA 98004-6901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009132 | WA | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 10/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5037270 | — | WA |