Organization
IMPLANT & PERIODONTIC SPECIALISTS
Active
Parent organization
IMPLANT & PERIODONTIC SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPLANT & PERIODONTIC SPECIALISTS
Authorized official
MRS. JILL KLAIBER (OFFICE MANAGER)
(425) 453-1010
Entity
Organization
Contact information
Practice address
1418 112TH AVE NE SUITE 100, BELLEVUE, WA 98004
(425) 453-1010
(425) 637-8704
Mailing address
1418 112TH AVE NE SUITE 100, BELLEVUE, WA 98004
(425) 453-1010
(425) 637-8704
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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