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QTR

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Contracting Agency Name


Advanced Endodontics
Great Smile Dental
8 to 8 Dental
Green Lake Oral + Facial Surgery
Drs. Rubens & Steen
Bright Now!-Lynnwood
Cascade Family Dental
Oral and Maxillofacial Surgery of Washington
Hidden Valley Smiles
Smokey Point Family Dentistry
All Smiles NW
West Edge Dental
Family and Cosmetic Dentistry
Bright Now!-Woodinville
Kirkland Family Dentistry
Mock Family Dentistry
Mill Creek Dental
Aesthetic and Family Dentistry
Sound Surgery
Creekside Dental
The New Face of Dentistry
Family and Cosmetic Dentistry
Northwest Periodontics and Implants
Rosenwald & Associates
Family and Cosmetic Dentistry
Beetham Dentistry
Fall City Family Dentistry
Sea Dental Care
Seven Lakes Dental
Family and Cosmetic Dentistry
Halgren Orthodontics
Pacific Northwest Smiles
2200 Westlake Dentistry
Eastview Family Dental
Bel-Red Oral & Maxillofacial Surgery

Agent Surname & Title Agent Name


Alibhai, DMD
Karim Z
Glickman, DDS
Caron Nelson
Park, DDS
Stephen
Epstein, DDS
Matthew
Rubens, DDS
Brian C
Fabian
Nguyen, DDS
Quynh
Knoff, DDS
Stephen B
Wong, DDS
Peter
Hanssen, DDS
Otto
Steinhubel, DDS
Michelle
Emard, DMD
Jessica J
Yang, DDS
Erica
Nurani, DDS
Ashifa
Greene, DDS, PS
Benjamin J
Mock, DDS, FAGD
Erich
Chin, DDS
Nikki H
Moorhead, DDS, PS
Barry J
Whelan, MD, DDS
Michael F
Egbert, DDS
Lisa Marie
Tennant, DDS
Ryan M
Grace, DDS
Mark
Akimoto, DDS, MSD
Ken M
Rosenwald, DDS
James
Kim, DDS, PLLC
Christy A
Beetham, DDS, PS
Marianna
Fawcett, DDS
Greg M
Bhat, DDS
Priti
Thomas, DMD, MAGD
Steven
Kang, DDS, PLLC
Teresa K
Halgren, DDS
Paul
Greenhalgh, DDS
Darren
Singh, DDS
Bridget
Fong, DDS
Brian
Trippel, DDS, PS
Douglas L

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Everyone By One
Redmond Family Smiles
Woodinville Pediatric Dentistry
Seattle Scape Smiles
Smiles on Madison
Factoria Family Dentistry
Oral & Maxillofacial Surgery
Jensen and Brown, DDS, PLLC
new 32 Aesthetic and Cosmetic Dentistry
Washington Oral and Maxillofacial Surgery
North Sound Oral Surgery
OM3 Oral Maxillofacial and Implant Surgery
Hidden Vally Smiles
Kirkland Premier Dentistry
George Orthodontics
Mountlake Family Dentistry
Lund Orthodontics
Northwest Oral & Maxillofacial
Bellevue Pediatric Dentistry
A Smiling Heart Dentistry
Riverside Family Dental
Hidden Valley Smiles
Takamoto Dental
Woodinville Pediatric Dentistry
Family Practice Dentistry
Barry General Dentistry
Family and Cosmetic Dentistry
All Smiles NW
Everyone By One
Frost Family Dentistry
Evergreen Family Dental
Michelle Fogg Neal Orthodontics

Thomas, DDS, MS
Jury, DDS
Oskouian, DMD
Wong, DDS
Wong, DDS
Kang, DDS
Trimble, DMD, MD
Brown, DDS
Jacobsen, DDS
Hong, DDS, PS
Hooe, DDS, MS
Kim, DDS
Wong, DDS
Wong, DDS
George, DDS, MSD
Luna, DDS
Lee, DDS
Lund, MPH, DDS, MSD
Nelson, DDS
Ashoka, DDA
Gerlach, DDS
Khachatryan, DDS
Redd, DDS
Wong, DDS
Takamoto, DDS, MSD
Oskouian, DMD
Mecca, DMD
Barry, DDS
Fox, DDS
Etheridge, DDS
Steinhubel, DDS
Thomas, DDS. MS
Frost, DDS
Lee, DDS
Kim, DDS
Neal, DDS

James M
Adam N
Rama
Peter
Peter
Michael C
L. Douglas
Kevin
Elizabeth
Jae
William E
Peter H
Peter
Peter
Michael
Jennifer Yong
Melissa
Paul J
Marvin R
Subedar
Nolan
Tigran
Phillip E
Peter S
Kenyu
Rama
Joseph C
Lindsay A
Ryan
Philip J
Michelle
James M
Daniel A
Melissa
Joe
Michelle

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Mukilteo Dental Center


Factoria Family Dentistry
Kirkland Kids Dentistry
Mock & Tran Dentistry
Harbour Pointe Orthodontics
Seattle Special Care Dentistry
Bothell Orthodontic
Woodinville Pediatric Dentistry
Neighborcare Health
Implants, Oral & Maxillofacial Surgery of Washington, PS
Family Dentistry
Song Periodontics & Dental Implants
Premier Sleep Associates
Family & Cosmetic Dentistry
Sunrise Dental-Mount Vernon
Eastside Kids Dentistry
Bonney Lake Dental Center
Bellevue Dental Arts
Hudson Family Dentistry
Eagle Family Dental Center
Seven Lakes Dental
Link Dentistry
Neal & Leonard Oral & Maxillofacial Surgery
Richard Chan Orthodontics
Dentistry for Your Family
Koczarski Aesthetic & Laser Dentistry
Dentistry for Children and Adolescents
Everett Dental Clinic
Shoreline Dental
Belltown Dentistry
Sea Mar Community Health Center
Monroe Smiles

Pham, DDS
Kang, DDS
Dkeidek, DDS
Mock, DDS
de Leon-Estes
Winston, DDS
Chaison, DDS, MSD
Oskouian, DDS
Vander Beek, DMD
Knoff, DDS
Kern, DDS
Song, DDS, MSD
Carstensen, DDS
Ostler, DMD
Ahmed, DDS
Lee, DDS
Constantin, DDS
Chiang, DDS
Hudson, DDS
Huleatt, DDS
Thomas, DMD, MAGD
Lintakoon, DDS
Neal, DDS, MD
Chan, DDS, MS
Gill, DDS
Koczarski, DDS
Atherton, DDS
Conn, DDS
Nguyen, DDS
Co, DDS, PLLC
Barclay, DDS
Riojas, CEO
Johnson, DDS

Nhi
Michael C
Allyson
Erich
Jacqueline
Amy
Jason B
Rama
Sarah
Stephen B
Michael
Jung
Steve
Katie
Senan
Michael
Delia
Ryan
Tara
Jeff D
Steven
John
Craig E
Richard W
Kyle D
Michael
David
Patricia
Linh
Princeton
Petra
Rogelio
Jeremy L

Address
14595 Bel-Red Rd, Suite 103
26425 NE Allen St, Suite 102
1418 164th St SW, Suite 100
7900 E Green Lake Dr N, Suite 302
18807 Beardslee Blvd, Suite 102
18910 28th Ave W, Suite 202
827 128th St SW, Suite A
12330 120th Ave NE
12715 Bel-Red Rd #202
3533 172nd St NE, Building B
3802 Colby Ave, Fl 3
88 Spring St #100
410 Bellevue Way SE, Suite 103
17740 Garden Way NE
1715 Market St, Suite 104
12817 120th Ave NE, Suite B
15808 Mill Creek Blvd, Suite 130
16375 NE 85th St, Suite 103
19625 68th Ave W
19214 Bothell Way NE, Suite C
200 W Mercer St, Suite 205
509 Olive Way, Suite 1242
1740 NW Maple St, Suite 110
1515 116th Ave NE, Suite 305
2310 130th Ave NE, Suite B-102
12911 120th Ave NE, Ste B-60
33609 SE Redmon-Fall City Rd
234 Market St
17317 27th Ave NE #101
12332 120th Ave NE
1711 E Division St, Suite A
15130 Main St #210
900 Lenora St, Suite 216
14037 Bel-Red Rd
14220 Bel-Red Rd, Suite 201

City
Bellevue
Duvall
Lynnwood
Seattle
Bothell
Lynnwood
Everett
Kirkland
Bellevue
Arlington
Everett
Seattle
Bellevue
Woodinville
Kirkland
Kirkland
Mill Creek
Redmond
Lynnwood
Bothell
Seattle
Seattle
Issaquah
Bellevue
Bellevue
Kirkland
Fall City
Kirkland
Marysville
Kirkland
Mount Vernon
Mill Creek
Seattle
Bellevue
Bellevue

State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA

Zip
98007
98019
98087
98103
98011
98036
98204
98034
98005
98223
98201
98104
98004
98072
98033
98034
98012
98052
98036
98011
98119
98101
98027
98004
98005
98034
98024
98033
98271
98034
98274
98012
98121
98007
98007

Phone number
425-562-9070
425-788-1551
425-745-6828
206-641-7212
425-489-8274
425-775-5557
425-290-9277
425-821-7979
425-637-6697
360-658-3000
425-252-9333
206-624-8500
425-454-8002
425-492-2000
425-822-0435
425-821-9300
425-379-8038
425-885-4741
425-778-5991
425-485-0300
206-281-8300
206-623-5546
425-392-8992
425-454-4040
425-883-3800
425-825-8800
425-222-7011
425-827-3097
360-653-5577
425-821-8411
360-336-3436
425-357-6400
206-402-5490
425-454-8261
425-644-8000

1200 112th Ave NE B275


8575 164th Ave NE, Suite 201
17000 140th Ave NE, Suite 302
567 John St #2
2209 E Madison St
4100 Factoria Blvd, Ste D
1370 116the Ave NE, Suite 101
11 105th Ave SE
4915 25th Ave NE, Suite 107
1809 Fourth St
1130 N 185th St, Suite 101
3329 Hoyt Ave #2
12715 Bel-Red Rd #202
10601 NE 68th St
4001 Colby Ave
22725 44th Ave W, Ste 100
9714 3rd Ave NE, Suite 200
13106 120th Ave NE
209 Dayton St #101
230 S 15th St, Ste A
875 140th Ave NE, Suite 200
15446 Bel-Red Rd, Suite 400
14124 Main St NE, Suite C
12715 Bel Red Rd, Suite 202
1811 156th Ave NE, Suite 1
17000 140th Ave NE, Suite 302
14535 Bel-Red Rd, Suite 102
12911 120th Ave NE, Suite E-10
12527 NE 144th St
13118 121st Way NE #102
3802 Colby Ave, Fl 3
1200 112th Ave NE B275
16701 Cleveland St #200
9714 3rd Ave NE, Suite 200
15224 Main St, Suite 301
9750 NE 120th Pl, Suite 5

Bellevue
Redmond
Woodinville
Seattle
Seattle
Bellevue
Bellevue
Bellevue
Seattle
Marysville
Shoreline
Everett
Bellevue
Kirkland
Everett
Mountlake
Terrace
Seattle
Kirkland
Edmonds
Mount Vernon
Bellevue
Redmond
Duvall
Bellevue
Bellevue
Woodinville
Bellevue
Kirkland
Kirkland
Kirklandd
Everett
Bellevue
Redmond
Seattle
Mill Creek
Kirkland

WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA

98004
98052
98072
98109
98112
98006
98004
98004
98105
98270
98133
98201
98005
98033
98201
98043
98115
98034
98020
98274
98005
98052
98019
98005
98007
98072
98007
98034
98034
98034
98201
98004
98052
98115
98012
98034

425-289-1918
425-885-3010
425-402-8393
206-724-0188
206-788-4488
425-747-8888
425-453-6975
425-454-7690
206-381-0732
360-653-1114
206-542-1313
425-258-2646
425-637-6697
425-284-3881
425-258-1121
425-412-3955
206-523-2711
425-821-5700
425-775-7325
360-424-9860
425-614-3777
425-558-9998
425-788-7328
425-637-6997
425-746-8676
425-402-8393
425-865-8128
425-689-5261
425-821-9169
425-822-0505
425-252-9333
425-289-1918
425-883-4099
206-523-7600
425-338-4999
425-823-1234

7928 Mukilteo Speedway, Suite 201


4100 Factoria Blvd SE, Ste D
13118 121st Way NE #103
12817 120th Ave NE, Suite B
7928 Mukilteo Speedway, Suite 203
4915 25th Ave NE
19214 Bothell Way NE, Suite A
17000 140th Ave NE, Suite 302
1200 12th Ave S, Suite 901
12330 120th Ave NE
8575 164th Ave NE, Suite 200
21807 76th Ave W
636 120th Ave NE A204
16640 NE 83rd St
2120 Freeway Dr
8630 164th Ave NE #202
9925 214th Ave E, Suite A
13333 Bel-Red Rd, Suite 200
1622 Grove St
20210 77th Ave NE
17317 27th Ave NE #101
4405 21st Ave W #101
11011 Meridian Ave N #305
19020 Bothell Way NE, Suite A
19835 State Route 2, Suite A3
17000 140th Ave NE, Suite 202
17130 Avondale Way NE, Suite 118
2372 Main St
206 E Casino Rd #4
19929 Ballinger Way NE, Suite 100
2112 3rd Ave, Suite 404
1040 S Henderson St
114 W Main St

Mukilteo
Bellevue
Kirkland
Kirkland
Mukilteo
Seattle
Bothell
Woodinville
Seattle
Kirkland
Redmond
Edmonds
Bellevue
Redmond
Mount Vernon
Redmond
Bonney Lake
Bellevue
Marysville
Arlington
Marysville
Seattle
Seattle
Bothell
Monroe
Woodinville
Redmond
Ferndale
Everett
Shoreline
Seattle
Seattle
Monroe

WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA

98275 425-347-4141
98006 425-747-8888
98034 425-820-6633
98034 425-821-9300
98275 425-348-5060
98105 206-524-1600
98011 425-483-2828
98072 425-402-8393
98144 206-548-3113
98034 425-821-7979
98052 425-883-9571
98026 425-775-2002
98005 425-247-3450
98052 425-298-0701
98273 360-848-6777
98052 425-968-2840
98391 253-863-4594
98005 425-270-7686
98270 360-659-5611
98223 360-435-2151
98271 360-653-5577
98199 512-680-5571
98133 206-363-3010
98011 425-485-9332
98272 360-794-9055
98072 425-678-2201
98052 425-869-1830
98248 360-384-5902
98208 425-347-0547
98155 206-440-0065
98121 206-443-1788
98108
98272 360-526-8749

Email

Fax number
425-778-5910

Notes

drcaron@great-smile.com
info@greenlakefacialsurgery.com

206-734-3211
cancelled

petertoothdr@yahoo.com

425-821-0500
425-637-1053

smiles@allsmilesnw.com
westedgedental@qwestoffice.net

425-303-8593
206-623-4768

cancelled

cancelled
info@bengreenedds.com
425-821-8601
info@millcreekdentalwa.com
info@soundsurgery.net

425-778-5910

info@nwperio.com

425-392-0184
425-454-4497
425-869-6909

info@yourbellevuedentist.com

cancelled

info@7lakesdental.com
425-821-5188

cancelled
425-454-8414
425-644-4888

cancelled

425-451-4029
425-882-0373
425-402-8394
206-724-0488
206-788-4487
425-564-8562
425-453-7825
425-454-2172
206-381-0513
360-653-5509
206-546-0887

cancelled

cancelled

cancelled
cancelled

425-637-1053

info@melissaleedds.com

425-967-5583
425-524-2711

360-424-9861
425-641-1960

425-637-1053
dr.takamoto@gmail.com
office@drmeccasoffice.com
frontoffice@ryanfoxdds.com
smiles@allsmilesnw.com

info@melissaleedds.com
millcreekevergreendental@yahoo.com
info@nealsmiles.com

425-402-8394
425-865-8030
425-821-9443
425-821-8745
425-825-5661
425-303-9333
425-451-4029
425-867-1546
206-524-2711
425-825-0894

mdc@mukilteodentalcenter.com
kirklandkidsdentistry@gmail.com
drdeleon@harbourpointeorthodontics.com
info@bothellorthodontics.com

425-564-8562
425-820-6630
425-821-8601
425-493-8712
206-524-1603
425-485-8781
425-402-8394
206-461-8382
425-821-0500

songperio@implants123.com

425-775-2004

drostler@drostler.com

425-307-1508
360-848-6418

info@eastsidekidsdentistry.com
drdelia@bonnylakedental.com
frontdeskbda@gmail.com
hfdentistry02@hotmail.com

cancelled

425-644-8445

info@7lakesdental.com

cancelled

ferndaledds@gmail.com
info@myshorelinedental.com
infor@belltowndentist.com

206-443-1790
for all extern sites

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