MEDICARE: SLEEP BETTER BELLEVUE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1023778750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP BETTER BELLEVUE PLLC

Provider Business Mailing Address
First Line	:	11216 NE 15TH ST STE A
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-3724
Country	:	US
Telephone Number	:	425-289-8159
Fax Number	:

Provider Business Practice Location Address
First Line	:	11216 NE 15TH ST STE A
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-3724
Country	:	US
Telephone Number	:	425-289-8159
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CLARA H SONG
Credential	:	DDS
Telephone Number	:	425-686-5522

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	06/27/2024

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Directions to “SLEEP BETTER BELLEVUE PLLC ” Practice Location

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