# M MAHAJAN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wonderful Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447716741
- **Authorized official:** DR. MONIKA MAHAJAN DDS (GENERAL DENTIST)
- **Authorized official phone:** (509) 307-3837

## Contact information

- **Practice address:** 4202 10TH ST SE STE 102, PUYALLUP, WA 98374-2191
- **Practice address phone:** (509) 307-3837
- **Mailing address:** 4202 10TH ST SE STE 102, PUYALLUP, WA 98374-2191
- **Mailing address phone:** (509) 307-3837

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2019
- **Last updated:** 02/12/2019