# AVONDALE SMILES

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

## Provider details

- **NPI number:** 1356669717
- **Authorized official:** ADITI AGARWAL D.M.D (DENTIST)
- **Authorized official phone:** (425) 298-6684

## Contact information

- **Practice address:** 11523 AVONDALE RD NE, SUITE 115, REDMOND, WA 98052-2301
- **Practice address phone:** (425) 298-6684
- **Mailing address:** 11523 AVONDALE RD NE, SUITE 115, REDMOND, WA 98052-2301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009797 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 05/11/2010
