Washington Dental Federal Way, LLC
NPI #1417506486 in Federal Way, Washington
Provider Information
- NPI Number
- 1417506486
- Entity Type
- Organization
- Organization Name
- Washington Dental Federal Way, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 31515 PETE VON REICHBAUER WAY S UNIT 108
- City
- Federal Way
- State
- Washington
- ZIP Code
- 98003-5599
- Phone
- (206) 592-2442
Authorized Official
- Name
- YONG PARK
- Title
- CEO
- Phone
- (206) 592-2442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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