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Organization

NOLAN L. GERLACH D.D.S., P.L.L.C.

Active
Other names
Bellevue Pediatric Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOLAN LOUIS GERLACH DDS (OWNER)
(206) 854-6317
Entity
Organization

Contact information

Practice address
875 140TH AVE NE, SUITE 200, BELLEVUE, WA 98005-3400
(425) 614-3777
(425) 641-1960
Mailing address
16604 SE 17TH PL, BELLEVUE, WA 98008-5125
(206) 854-6317

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60130018
WA

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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