| Overlake Orthodontics | |
|
14420 Bel Red Rd Ste 105 Bellevue WA 98007-3930 | |
| (425) 641-4200 | |
| (425) 641-4418 |
| Full Name | Overlake Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14420 Bel Red Rd Ste 105, Bellevue, Washington |
| Authorized Official Name and Position | Charlotte Lemery (BUSINESS MANAGER) |
| Authorized Official Contact | 4256414200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overlake Orthodontics 14420 Bel Red Rd Ste 105 Bellevue WA 98007-3930 Ph: (425) 641-4200 | Overlake Orthodontics 14420 Bel Red Rd Ste 105 Bellevue WA 98007-3930 Ph: (425) 641-4200 |
| NPI Number | 1407152952 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407152952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 603066082 (Washington) | Primary |
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