Organization
EZ DENT DENTURE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINA GOOBES (SECRETARY)
(425) 746-6090
Entity
Organization
Contact information
Practice address
1130 140TH AVE NE, #100B, BELLEVUE, WA 98005
(425) 746-6090
(425) 747-9856
Mailing address
1130 140TH AVE NE, #100B, BELLEVUE, WA 98005
(425) 746-6090
(425) 747-9856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE8930
WA
122300000X
Dentist
DE9742
WA
122400000X
Denturist
DN0141
WA
122400000X
Denturist
Primary
DN0189
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023734
—
WA
Enumeration date
10/20/2006
Last updated
09/11/2025
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