# WASHINGTON DENTAL CORPORATION PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Puyallup Smiles Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114324795
- **Authorized official:** DR. BRIAN BIENSTOCK DDS (DENTIST)
- **Authorized official phone:** (253) 848-7777

## Contact information

- **Practice address:** 16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
- **Practice address phone:** (253) 848-7777
- **Mailing address:** 16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
- **Mailing address phone:** (253) 848-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60386595 | WA | Yes |
| 1223P0221X | Pediatric Dentistry | DE60481607 | WA | — |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 11/26/2014