Lake Bellevue Dental Care, INC
NPI #1407291537 in Bellevue, Washington
Provider Information
- NPI Number
- 1407291537
- Entity Type
- Organization
- Organization Name
- Lake Bellevue Dental Care, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 2, 2013
- Last Updated
- May 2, 2013
Practice Location
- Address
- 1 LAKE BELLEVUE DR STE 108
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98005-2417
- Phone
- (425) 453-2030
Authorized Official
- Name
- STEPHEN ANDERSEN, DDS
- Title
- DENTIST/PRACTICE OWNER
- Phone
- (425) 453-2030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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