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Organization
BONNEY LAKE DENTAL CENTER
Active
Organization
BONNEY LAKE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELIA CONSTANTIN DDS (DENTIST)
(253) 863-4594
Entity
Organization
Contact information
Practice address
9925 214TH AVE E STE A, BONNEY LAKE, WA 98391-3910
(253) 863-4594
(253) 863-5061
Mailing address
9925 214TH AVE E STE A, BONNEY LAKE, WA 98391-3910
(253) 863-4594
(253) 863-5061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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