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Bonney Lake Dental Llc
Dental Clinic/Center in Bonney Lake, Washington
NPI 1073088423

Bonney Lake Dental Llc is a Dental Clinic/Center based in Bonney Lake, WA and is specialized in Dental. Bonney Lake Dental Llc practices in Bonney Lake, WA. The NPI Number for Bonney Lake Dental Llc is 1073088423 and holds a License No. (Washington).

The current practice location address for Bonney Lake Dental Llc is 19410 State Route 410 E, Bonney Lake, WA and can be reached out via phone at 253-780-7003.

Location: 19410 State Route 410 E, Bonney Lake, WA, 98391-8470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073088423
Provider Name
Bonney Lake Dental Llc
Credential
Provider Entity Type
Organization
Address
19410 State Route 410 E, Bonney Lake, WA, 98391-8470
Phone Number
253-780-7003
Fax Number
Provider Enumeration Date
10/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144431529 01 WA NPI
institution
Provider Business Practice Location Address Details
Address
19410 State Route 410 E
City
Bonney Lake
State
Washington
Zip
98391-8470
Phone Number
253-780-7003
Fax Number
person
Provider Business Mailing Address Details
Address
19410 State Route 410 E
City
Bonney Lake
State
Washington
Zip
98391-8470
Phone Number
253-780-7003
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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