Bonney Lake Dental Center
NPI #1477783199 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1477783199
- Entity Type
- Organization
- Organization Name
- Bonney Lake Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 15, 2009
- Last Updated
- Jul 15, 2009
Practice Location
- Address
- 9925 214TH AVE E STE A
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-3910
- Phone
- (253) 863-4594
Authorized Official
- Name
- MRS. DELIA CONSTANTIN, DDS
- Title
- DENTIST
- Phone
- (253) 863-4594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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