Organization
GREGORY B MORTENSEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MORTENSEN DDS (DENTIST)
(425) 644-2205
Entity
Organization
Contact information
Practice address
14645 BEL RED RD STE 100, BELLEVUE, WA 98007-3929
(425) 644-2205
Mailing address
14645 BEL RED RD STE 100, BELLEVUE, WA 98007-3929
(425) 644-2205
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
4778
WA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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