Organization
BELLA MAKAGON DENTISTRY, PS
Active
Other names
Prestige Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELLA MAKAGON DMD (PRESIDENT)
(425) 516-4167
Entity
Organization
Contact information
Practice address
116 FAIRVIEW AVE N, SUITE 148, SEATTLE, WA 98109-5360
(206) 682-7942
(206) 701-7965
Mailing address
16681 NE 121ST WAY, REDMOND, WA 98052-1208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60058471
WA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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