Individual
RICHARD OLIVER BIENENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PS
Contact information
Practice address
12815 120TH AVE NE, SUITE G EVERGREEN MEDICAL DENTAL CENTER, KIRKLAND, WA 98034
(425) 821-9600
(425) 820-6682
Mailing address
12815 120TH AVE NE, SUITE G EVERGREEN MEDICAL DENTAL CENTER, KIRKLAND, WA 98034
(425) 821-9600
(425) 820-6682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4831
WA
Other
Enumeration date
09/08/2006
Last updated
06/23/2015
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