Organization
COUSIN & RIOLO DDS PLLC
Active
Other names
Bellevue Orthodontics and Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE B BRIDGFORTH (ADMINISTRATOR)
(206) 355-3395
Entity
Organization
Contact information
Practice address
1515 116TH AVE NE, SUITE 105, BELLEVUE, WA 98004
(425) 382-7559
Mailing address
1515 116TH AVE NE, SUITE 105, BELLEVUE, WA 98004
(425) 382-7559
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
04/12/2023
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