# ADVANCED FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215760608
- **Authorized official:** SOFIYA DZHALOVSKIY (OFFICE MANAGER)
- **Authorized official phone:** (253) 239-5020

## Contact information

- **Practice address:** 24909 104TH AVE SE STE 102, KENT, WA 98030-2819
- **Practice address phone:** (253) 239-5020
- **Mailing address:** 24909 104TH AVE SE STE 102, KENT, WA 98030-2819
- **Mailing address phone:** (253) 239-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/23/2024