Organization
BENJAMIN DORANTES DDS PLLC
Active
Other names
Lakeview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN DORANTES DDS (OWNER)
(206) 380-3885
Entity
Organization
Contact information
Practice address
5710 BOTHELL WAY NE, STE. 5, KENMORE, WA 98028
(425) 488-1405
Mailing address
5710 BOTHELL WAY NE, STE. 5, KENMORE, WA 98028
(425) 488-1405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223G0001X
WA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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