Implant & Periodontic Specialists
NPI #1225445539 in Bellevue, Washington
Provider Information
- NPI Number
- 1225445539
- Entity Type
- Organization
- Organization Name
- Implant & Periodontic Specialists
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IMPLANT & PERIODONTIC SPECIALISTS
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 18, 2014
- Last Updated
- Jul 18, 2014
Practice Location
- Address
- 1418 112TH AVE NE SUITE 100
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004
- Phone
- (425) 453-1010
Authorized Official
- Name
- MRS. JILL KLAIBER
- Title
- OFFICE MANAGER
- Phone
- (425) 453-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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