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Organization

BLAKE DAVIS PLLC

Active
Other names
Kirkland and Redmond Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
TAMI HANIGAN (OPERATIONS DIRECTOR)
(425) 821-0808
Entity
Organization

Contact information

Practice address
12819 120TH AVE NE STE H, KIRKLAND, WA 98034-3002
(425) 821-0808
Mailing address
12819 120TH AVE NE STE H, KIRKLAND, WA 98034-3002
(425) 821-0808

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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