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Organization
CENTENNIAL DENTAL
Active
Organization
CENTENNIAL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM OH DMD (DENTIST)
(360) 435-8411
Entity
Organization
Contact information
Practice address
122 E MAPLE ST, ARLINGTON, WA 98223-1545
(360) 435-8411
(360) 435-7945
Mailing address
122 E MAPLE ST, ARLINGTON, WA 98223-1545
(360) 435-8411
(360) 435-7945
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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