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General NPI Number Information
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NPI Number | 1235944646
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Entity Type | Organization
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Legal Business Name | SUGANDH PRAVIN RELAN DDS PC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 410 BELLEVUE WAY SE STE 302
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City | BELLEVUE
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State | WA
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Zip | 98004-6649
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Country | US
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Telephone | 425-454-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 4232 146TH AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98006-1608
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Country | US
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Telephone | 425-394-3093
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Fax | 425-614-1612
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Authorized Official
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Title or Position | DENTIST
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Name | SUGANDH PRAVIN RELAN
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Credential | DDS
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Telephone | 425-394-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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