Aesthetic and General Dentistry
NPI #1437605979 in Kent, Washington
Provider Information
- NPI Number
- 1437605979
- Entity Type
- Organization
- Organization Name
- Aesthetic and General Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 25, 2016
- Last Updated
- Aug 25, 2016
Practice Location
- Address
- 121 KENNEBECK AVE N
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-4621
- Phone
- (253) 854-6300
Authorized Official
- Name
- DIANA BLIDCHENKO
- Title
- RECEPTIONIST
- Phone
- (253) 854-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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