Dentistry @ Renton

NPI #1629718978 in Renton, Washington

Provider Information

NPI Number: 1629718978
Entity Type: Organization
Organization Name: Dentistry @ Renton
Primary Specialty: Dentist
Enumeration Date: Apr 1, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 19221 108TH AVE SE STE 4
City: Renton
State: Washington
ZIP Code: 98055-7369
Phone: (253) 852-4746

Authorized Official

Name: BRENDA GRAY
Title: TEAM LEADER
Phone: (253) 236-7456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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