Organization
EDWARD IM DDS PS
Active
Other names
Sunrise Dental Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH IM (OFFICE MANAGER)
(425) 450-9500
Entity
Organization
Contact information
Practice address
1200 112TH AVE NE, C222, BELLEVUE, WA 98004-3732
(425) 450-9500
(425) 450-5008
Mailing address
1200 112TH AVE NE, C222, BELLEVUE, WA 98004-3732
(425) 450-9500
(425) 450-5008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
WA
1223P0300X
Periodontics
—
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
WA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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