# WAYNE E. SVOBODA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Federal Way Children's Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134685589
- **Authorized official:** DR. WAYNE ETNYRE SVOBODA DDS (PRESIDENT)
- **Authorized official phone:** (253) 219-1231

## Contact information

- **Practice address:** 32105 1ST AVE S STE B3, FEDERAL WAY, WA 98003-5719
- **Practice address phone:** (253) 219-1231
- **Practice address fax:** (253) 838-2560
- **Mailing address:** 32105 1ST AVE S STE B3, FEDERAL WAY, WA 98003-5719
- **Mailing address phone:** (253) 219-1231
- **Mailing address fax:** (253) 838-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2019
- **Last updated:** 02/11/2019