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General NPI Number Information
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NPI Number | 1316886260
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Entity Type | Organization
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Legal Business Name | ANABELLA DENTAL
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 11216 NE 15TH ST STE A
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City | BELLEVUE
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State | WA
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Zip | 98004-3724
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Country | US
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Telephone | 425-454-3221
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Fax | 888-299-5920
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Provider Business Mailing Address
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Address Line | 11216 NE 15TH ST STE A
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City | BELLEVUE
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State | WA
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Zip | 98004-3724
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Country | US
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Telephone | 425-454-3221
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Fax | 888-299-5920
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CLARA H SONG
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Credential | DDS
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Telephone | 425-454-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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