Organization
SUSAN D LABOUNTY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN DAWN LABOUNTY DDS (MANAGER)
(425) 869-7560
Entity
Organization
Contact information
Practice address
15613 BEL RED RD, BLDG B STE C, BELLEVUE, WA 98008-2348
(425) 869-7560
(425) 869-7699
Mailing address
15613 BEL RED RD, BLDG B STE C, BELLEVUE, WA 98008-2348
(425) 869-7560
(425) 869-7699
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE0006423
WA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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