# CONSOLIDATED DENTAL THREE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164039731
- **Authorized official:** CHELSEA D'NICHOLE MORTELL DMD (OWNER/ DENTIST)
- **Authorized official phone:** (206) 787-0132

## Contact information

- **Practice address:** 19221 108TH AVE SE STE 2, RENTON, WA 98055-7369
- **Practice address phone:** (425) 988-0801
- **Mailing address:** 19221 108TH AVE SE STE 2, RENTON, WA 98055-7369

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 09/28/2020