Individual
MATT A PILOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5611 119TH AVE SE, SUITE #2, BELLEVUE, WA 98006-3799
(425) 746-6554
(425) 746-0145
Mailing address
5611 119TH AVE SE, SUITE #2, BELLEVUE, WA 98006-3799
(425) 746-6554
(425) 746-0145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6495
WA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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