# HEALTHY SMILES NORTHWEST

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

## Provider details

- **NPI number:** 1356942684
- **Authorized official:** LINDA JAMES RDH (CO-OWNER)
- **Authorized official phone:** (541) 908-2692

## Contact information

- **Practice address:** 11808 18TH ST SE, LAKE STEVENS, WA 98258-2046
- **Practice address phone:** (541) 908-2692
- **Mailing address:** 11808 18TH ST SE, LAKE STEVENS, WA 98258-2046
- **Mailing address phone:** (541) 908-2692

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2020
- **Last updated:** 11/03/2020