Organization
WHOLE FAMILY CLINIC, LLC
Active
Organization
WHOLE FAMILY CLINIC, LLC
Active
Parent organization
WHOLE FAMILY CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHOLE FAMILY CLINIC, LLC
Authorized official
DR. DINA M. KISSELEVA ND (OWNER)
(206) 295-3855
Entity
Organization
Contact information
Practice address
1530 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-4574
(206) 295-3855
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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