| NPI | 1497866255 |
|---|---|
| Doing Business As | BELLEVUE KIDS DENTIST |
| Entity Type | Organization |
| Authorized Contact | LA NETTE A MC INTOSH Office Manager 425-455-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 4233) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-11-17 |