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Organization
SOUTH RAINIER DENTISTRY, PLLC
Active
Organization
SOUTH RAINIER DENTISTRY, PLLC
Active
Other names
south rainier dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAT KHOA NGUYEN DDS (MEMBER, MANAGER)
(206) 721-8730
Entity
Organization
Contact information
Practice address
8730 RAINIER AVE S, SEATTLE, WA 98118-4927
(206) 721-8730
(206) 721-5947
Mailing address
8730 RAINIER AVE S, SEATTLE, WA 98118-4927
(206) 721-8730
(206) 721-5947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE10287
WA
1223G0001X
General Practice Dentistry
DE10306
WA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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