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Organization
WASHINGTON DENTAL CORPORATION PC
Active
Organization
WASHINGTON DENTAL CORPORATION PC
Active
Other names
Puyallup Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BIENSTOCK DDS (DENTIST)
(253) 848-7777
Entity
Organization
Contact information
Practice address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Mailing address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60386595
WA
1223P0221X
Pediatric Dentistry
DE60481607
WA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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