Organization
CONSOLIDATED DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA M PETISME DMD (PROVIDER)
(425) 821-3388
Entity
Organization
Contact information
Practice address
13611 100TH AVE NE, KIRKLAND, WA 98034-5234
(425) 821-3388
Mailing address
13611 100TH AVE NE, KIRKLAND, WA 98034-5234
(425) 821-3388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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