# TOWN SQUARE DENTISTRY

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

## Provider details

- **NPI number:** 1437594488
- **Authorized official:** MICHELLE HUNTER (BUSINESS MANAGER)
- **Authorized official phone:** (206) 241-2091

## Contact information

- **Practice address:** 610 SW 152ND ST, BURIEN, WA 98166-2213
- **Practice address phone:** (206) 241-2091
- **Practice address fax:** (206) 241-1908
- **Mailing address:** 610 SW 152ND ST, BURIEN, WA 98166-2213
- **Mailing address phone:** (206) 241-2091
- **Mailing address fax:** (206) 241-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00005907 | WA | Yes |
| 122300000X | Dentist | DE60099970 | WA | — |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013