Green Dentistry
NPI #1376028589 in Des Moines, Washington
Provider Information
- NPI Number
- 1376028589
- Entity Type
- Organization
- Organization Name
- Green Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 3, 2018
- Last Updated
- Oct 3, 2018
Practice Location
- Address
- 23040 PACIFIC HWY S STE 311
- City
- Des Moines
- State
- Washington
- ZIP Code
- 98198-7268
- Phone
- (206) 878-3111
Authorized Official
- Name
- AMRITPAL MATTU, DDS
- Title
- DENTIST
- Phone
- (425) 753-1163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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