# DMG DENTAL DESIGN LLC

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

## Provider details

- **NPI number:** 1508246927
- **Authorized official:** DR. DAVID G MYASKOVSKY DDS, MSD (MEMBER)
- **Authorized official phone:** (425) 488-2345

## Contact information

- **Practice address:** 1908 201ST PL SE, 200, BOTHELL, WA 98012-8572
- **Practice address phone:** (425) 488-2345
- **Practice address fax:** (425) 489-4082
- **Mailing address:** 1908 201ST PL SE, 200, BOTHELL, WA 98012-8572
- **Mailing address phone:** (425) 488-2345
- **Mailing address fax:** (425) 489-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00007078 | WA | Yes |

## Other

- **Enumeration date:** 06/01/2015
- **Last updated:** 06/01/2015