# ISSAQUAH VALLEY DENTAL CARE

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

## Provider details

- **NPI number:** 1407191265
- **Authorized official:** DR. AJAY DHANKHAR DDS (DENTIST)
- **Authorized official phone:** (425) 392-4122

## Contact information

- **Practice address:** 1660 NW GILMAN BLVD, SUITE C1, ISSAQUAH, WA 98027-5340
- **Practice address phone:** (425) 392-4122
- **Practice address fax:** (425) 392-1167
- **Mailing address:** 1660 NW GILMAN BLVD, SUITE C1, ISSAQUAH, WA 98027-5340
- **Mailing address phone:** (425) 392-4122
- **Mailing address fax:** (425) 392-1167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009509 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE00009838 | WA | — |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 12/05/2012