Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Bellevue Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORNELAS (OWNER)
(405) 504-6218
Entity
Organization
Contact information
Practice address
2235 148TH AVE NE, BELLEVUE, WA 98007-3726
(425) 458-3850
(425) 654-0113
Mailing address
PO BOX 920050, DALLAS, TX 75392-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
12/26/2023
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