Organization
LITTLE PEARLS BOTHELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANDITA LILLY DMD (OWNER)
(813) 263-7116
Entity
Organization
Contact information
Practice address
1908 201ST PL SE APT 201, BOTHELL, WA 98012-8572
(425) 375-4789
Mailing address
3704 20TH AVE SW, SEATTLE, WA 98106-1138
(813) 263-7116
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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