Organization
DAYA BHAT DDS MS PLLC
Active
Other names
Michael Wagner DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DAYA BHAT DDS, MS (DENTIST/OWNER)
(312) 315-7604
Entity
Organization
Contact information
Practice address
13515 NE 175TH ST STE G, WOODINVILLE, WA 98072-8566
(312) 315-7604
Mailing address
13515 NE 175TH ST STE G, WOODINVILLE, WA 98072-8566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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