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Organization

DA VINCI DENTAL LLC

Active
Parent organization
DA VINCI DENTAL LLC
Other names
KALM Dental Spa
Organization subpart
Yes

Provider details

NPI number
Legal business name
DA VINCI DENTAL LLC
Authorized official
DR. BEAU J KELLER DDS (OWNER)
(425) 760-2704
Entity
Organization

Contact information

Practice address
909 112TH AVE NE, SUITE P-104, BELLEVUE, WA 98004-8580
(425) 409-9999
(888) 507-5181
Mailing address
909 112TH AVE NE, SUITE P-104, BELLEVUE, WA 98004-8580
(425) 409-9999
(888) 507-5181

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D009161
AZ
122300000X
Dentist
Primary
DE00011082
WA

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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