Northwest Institute of Cosmetic Dentistry

NPI #1194898379 in Bellevue, Washington

Provider Information

NPI Number: 1194898379
Entity Type: Organization
Organization Name: Northwest Institute of Cosmetic Dentistry
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2006
Last Updated: Aug 6, 2012

Practice Location

Address: 15710 NE 24TH STREET
Address 2: #B
City: Bellevue
State: Washington
ZIP Code: 98008
Phone: (425) 643-7100

Authorized Official

Name: DR. ERIC DER OVANESSIAN, DDS
Title: PRESIDENT
Phone: (425) 643-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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