Provider First Line Business Practice Location Address:
ISSAQUAH MODERN DENTISTRY
Provider Second Line Business Practice Location Address:
1416 HIGHLANDS DRIE NE, SUITE 120
Provider Business Practice Location Address City Name:
ISSAQUAH
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-557-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2019