# SMILEQUEST PREVENTIVE ORAL HEALTHCARE

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

## Provider details

- **NPI number:** 1396852554
- **Authorized official:** MS. DOROTHY T YAMAMOTO MHPA RDH (DIRECTOR)
- **Authorized official phone:** (509) 349-7420

## Contact information

- **Practice address:** 605 W 1ST STREET, WARDEN, WA 98857
- **Practice address phone:** (509) 349-7420
- **Practice address fax:** (509) 349-2357
- **Mailing address:** PO BOX 100, 605 W 1ST STREET, WARDEN, WA 98857
- **Mailing address phone:** (509) 349-7420
- **Mailing address fax:** (509) 349-2357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2940 | WA | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5029244 | — | WA |