# BEFFA DENTAL

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

## Provider details

- **NPI number:** 1306170311
- **Authorized official:** DR. KYLE M BEFFA DMD (OWNER)
- **Authorized official phone:** (206) 242-0066

## Contact information

- **Practice address:** 124 S NORMANDY RD, BURIEN, WA 98148-1708
- **Practice address phone:** (206) 242-0066
- **Practice address fax:** (206) 242-0069
- **Mailing address:** 124 S NORMANDY RD, BURIEN, WA 98148-1708
- **Mailing address phone:** (206) 242-0066
- **Mailing address fax:** (206) 242-0069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4050 | WA | — |
| 1223G0001X | General Practice Dentistry | 60098409 | WA | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 06/02/2015