# GARRETT GENTLING DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063929578
- **Authorized official:** DR. GARRETT GENTLING DDS (OWNER)
- **Authorized official phone:** (206) 353-5567

## Contact information

- **Practice address:** 1207 N 200TH ST STE 220, SHORELINE, WA 98133-3213
- **Practice address phone:** (206) 353-5567
- **Mailing address:** 11720 97TH LN NE APT A413, KIRKLAND, WA 98034-8963
- **Mailing address phone:** (206) 353-5567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60687419 | WA | Yes |

## Other

- **Enumeration date:** 01/05/2018
- **Last updated:** 01/05/2018