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Organization
EDWARD IM DDS PS
Active
Organization
EDWARD IM DDS PS
Active
Other names
Sunrise Dental Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH IM (OFFICE MANAGER)
(425) 450-9500
Entity
Organization
Contact information
Practice address
1200 112TH AVE NE, C222, BELLEVUE, WA 98004-3732
(425) 450-9500
(425) 450-5008
Mailing address
1200 112TH AVE NE, C222, BELLEVUE, WA 98004-3732
(425) 450-9500
(425) 450-5008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
WA
1223P0300X
Periodontics
—
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
WA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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