Organization
BRADLEY S. MOTT, DDS, PLLC
Active
Other names
Kenmore Smiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY S MOTT DDS (MEMBER, MANAGER)
(763) 227-5222
Entity
Organization
Contact information
Practice address
6507 NE 181ST ST, KENMORE, WA 98028-4801
(425) 486-9211
(425) 402-1093
Mailing address
6507 NE 181ST ST, KENMORE, WA 98028-4801
(425) 486-9211
(425) 402-1093
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60091370
WA
Other
Enumeration date
10/22/2013
Last updated
01/01/2014
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