Organization
MONA BUTANI DMD PLLC
Active
Other names
Totem Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLARK (OFFICE MANAGER)
(425) 820-0900
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE STE D50, KIRKLAND, WA 98034-3007
(425) 820-0900
Mailing address
12911 120TH AVE NE STE D50, KIRKLAND, WA 98034-3007
(425) 820-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
06/11/2019
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