Individual
DODI NOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PS
Contact information
Practice address
14420 BEL RED RD, STE. 203, BELLEVUE, WA 98007-3930
(425) 641-2101
(421) 641-2184
Mailing address
14420 BEL RED RD, STE. 203, BELLEVUE, WA 98007-3930
(425) 641-2101
(421) 641-2184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007808
WA
Other
Enumeration date
01/12/2007
Last updated
10/22/2007
About Stedi
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