Individual
DR. MELLISSA ANN ILGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4100 FACTORIA BLVD. SE, SUITE C, BELLEVUE, WA 98006
(425) 747-7000
(303) 648-5610
Mailing address
4100 FACTORIA BLVD. SE, SUITE C, BELLEVUE, WA 98006
(425) 747-7000
(303) 648-5610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60679147
WA
Other
Enumeration date
10/03/2012
Last updated
04/19/2019
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