# SMILES ON MADISON, LLC

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

## Provider details

- **NPI number:** 1437423183
- **Authorized official:** PETER WONG (DENTIST)
- **Authorized official phone:** (425) 788-4488

## Contact information

- **Practice address:** 2211 E. MADISON ST, SUITE B, SEATTLE, WA 98112
- **Practice address phone:** (206) 788-4488
- **Mailing address:** 2211 E. MADISON ST, SUITE B, SEATTLE, WA 98112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 02/28/2012