South Rainier Dentistry, Pllc
NPI #1043503071 in Seattle, Washington
Provider Information
- NPI Number
- 1043503071
- Entity Type
- Organization
- Organization Name
- South Rainier Dentistry, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2011
- Last Updated
- May 24, 2011
Practice Location
- Address
- 8730 RAINIER AVE S
- City
- Seattle
- State
- Washington
- ZIP Code
- 98118-4927
- Phone
- (206) 721-8730
Authorized Official
- Name
- DR. DAT KHOA NGUYEN, DDS
- Title
- MEMBER, MANAGER
- Phone
- (206) 721-8730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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