Northshore Dental Center LLC

NPI #1760695282 in Bothell, Washington

Provider Information

NPI Number: 1760695282
Entity Type: Organization
Organization Name: Northshore Dental Center LLC
Primary Specialty: Dentist
Enumeration Date: May 8, 2007
Last Updated: Jan 12, 2023

Practice Location

Address: 18404 104TH AVE NE
City: Bothell
State: Washington
ZIP Code: 98011-3414
Phone: (425) 486-2422

Authorized Official

Name: DIANE VO, DDS
Title: OWNER
Phone: (425) 785-8305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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