Individual
JONTIANA BADEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
433 STATE ST, KIRKLAND, WA 98033-6615
(425) 827-2003
(425) 828-3873
Mailing address
142 7TH AVE, KIRKLAND, WA 98033-5531
(425) 889-6755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0009777
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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