Search › Washington › 122300000X
Beau Keller, D.D.S
NPI 1588856652 · on the registry since 2007 · sole proprietor
Practice
- Address
- 909 112th Ave Ne
Suite P-104
Bellevue, WA 98004 - Phone
- (425) 409-9999
- Fax
- (888) 507-5181
- Organisation at this address
- Davinci Dental
Da Vinci Dental LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- WA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington