Whalio Doctors

NPI 1659736056

Jennifer Lee Smith, D

Practitioner Dental Assistant Bellevue, WA

Practice location

Address
3626 Factoria Blvd SE, Bellevue, WA 98006-6128
Phone
(425) 747-4695
Mailing address
8102 48th Ave S, Seattle, WA 98118-4406

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence D160128721 (WA)

Registry record

NPI
1659736056
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Dec 2015
Record last updated
30 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.