Consolidated Dental LLC

NPI #1932698149 in Kirkland, Washington

Provider Information

NPI Number: 1932698149
Entity Type: Organization
Organization Name: Consolidated Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 2, 2018
Last Updated: May 2, 2018

Practice Location

Address: 13611 100TH AVE NE
City: Kirkland
State: Washington
ZIP Code: 98034-5234
Phone: (425) 821-3388

Authorized Official

Name: CHELSEA M PETISME, DMD
Title: PROVIDER
Phone: (425) 821-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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