MICAH BOVENKAMP

SEATTLE, WA
NPI1134757487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: WA  DR61043609)
Enumeration Date2020-03-31
Last Update Date2020-03-31
Business Address
Dr. MICAH BOVENKAMP DDS
6222 NE 74TH ST
SEATTLE, WA 98115-8158
Phone number: 206-543-5800
Mailing Address
Dr. MICAH BOVENKAMP DDS
6222 NE 74TH ST # 354915
SEATTLE, WA 98115-8158
Phone number: 206-543-7906