Federal Way Dental LLC
NPI #1619308137 in Federal Way, Washington
Provider Information
- NPI Number
- 1619308137
- Entity Type
- Organization
- Organization Name
- Federal Way Dental LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 9, 2013
- Last Updated
- Dec 9, 2013
Practice Location
- Address
- 31401 PACIFIC HWY S
- City
- Federal Way
- State
- Washington
- ZIP Code
- 98003-5403
- Phone
- (253) 839-1007
Authorized Official
- Name
- NANDITA LILLY
- Title
- DENTIST
- Phone
- (253) 839-1007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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