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Dermatology Arts, PLLC

Clinic/Center, Medical Specialty in Bellevue, WA. Organization (NPI-2).

NPI number1790103430
StatusActive
Last updated in NPPESDec 30, 2020

Details

NPI
1790103430
Entity type
Organization (NPI-2)
Legal business name
Dermatology Arts, PLLC
Organization subpart
No
Enumeration date
Mar 31, 2014
Certification date
Dec 30, 2020
Last updated
Dec 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical SpecialtyMD60153580WAYes
207N00000X Dermatology––

Other names

  • Dermatology Arts (Doing Business As)

Practice location

1414 116th Ave Ne Ste E
Bellevue, WA 98004-3801

Phone 425-753-2918

Mailing address

Po Box 958
Mercer Island, WA 98040-0958

Phone 650-302-2624

Authorized official

Samir P. Master
Managing Member
6503022624

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