# AMRIT MATTU DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AESTHETIC DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154192557
- **Authorized official:** AMRITPAL MATTU DDS (SOLE OWNER)
- **Authorized official phone:** (425) 753-1163

## Contact information

- **Practice address:** 34700 11TH PL S, FEDERAL WAY, WA 98003-6715
- **Practice address phone:** (253) 946-9900
- **Mailing address:** 34700 11TH PL S, FEDERAL WAY, WA 98003-6715

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 01/15/2024