Organization
HIGHLANDS KIDS DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOC TRAN (OFFICE MANAGER)
(425) 557-5437
Entity
Organization
Contact information
Practice address
2525 NE PARK DR, STE#B, ISSAQUAH, WA 98029-2642
(425) 557-5437
(425) 557-0472
Mailing address
2525 NE PARK DR, STE#B, ISSAQUAH, WA 98029-2642
(425) 557-5437
(425) 557-0472
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DE00010356
WA
1223P0221X
Pediatric Dentistry
Primary
FM0627109
WA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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