Provider Demographics
NPI:1114571791
Name:ISRAEL, CLAIRE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16038 120TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-9513
Mailing Address - Country:US
Mailing Address - Phone:425-623-6945
Mailing Address - Fax:
Practice Address - Street 1:16038 120TH AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-9513
Practice Address - Country:US
Practice Address - Phone:425-623-6945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE609592641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice