Organization
KIRKLAND PREMIER DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WONG DDS (OWNER)
(425) 284-3881
Entity
Organization
Contact information
Practice address
10601 NE 68TH ST, KIRKLAND, WA 98033-7054
(425) 284-3881
(425) 284-3882
Mailing address
6298 167TH AVE SE, BELLEVUE, WA 98006-5645
(425) 284-3881
(425) 284-3882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009084
WA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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