Organization
MICHELLE J AMENT, DDS, PLLC
Active
Other names
Bothell Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE JACLYN AMENT DDS (OWNER, DENTIST)
(248) 860-1909
Entity
Organization
Contact information
Practice address
19214 BOTHELL WAY NE STE B, BOTHELL, WA 98011-6066
(248) 860-1909
Mailing address
13475 NE VILLAGE SQUARE DR UNIT D505, WOODINVILLE, WA 98072-5009
(248) 860-1909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316328487
PPO
WA
Enumeration date
04/01/2021
Last updated
04/01/2021
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