Hidden Valley Smiles

NPI #1912223116 in Bellevue, Washington

Provider Information

NPI Number: 1912223116
Entity Type: Organization
Organization Name: Hidden Valley Smiles
Primary Specialty: Dentist
Enumeration Date: Apr 13, 2010
Last Updated: Apr 13, 2010

Practice Location

Address: 12715 BEL RED RD
Address 2: STE 202
City: Bellevue
State: Washington
ZIP Code: 98005-2627
Phone: (425) 637-6997

Authorized Official

Name: PETER WONG
Title: DENTIST
Phone: (425) 637-6997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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