Organization
BELLEVUE NEUROMUSCULAR DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLAM CRIS SIMMONS DDS (OWNER)
(425) 637-1000
Entity
Organization
Contact information
Practice address
1515 116TH AVE NE, SUITE 303, BELLEVUE, WA 98004-3811
(425) 637-1000
(206) 682-0775
Mailing address
1515 116TH AVE NE, SUITE 303, BELLEVUE, WA 98004-3811
(425) 637-1000
(206) 682-0775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6392
WA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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