# BOTHELL DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DatDental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528534849
- **Authorized official:** TIEN-DAT NGUYEN (DOCTOR)
- **Authorized official phone:** (425) 486-7765

## Contact information

- **Practice address:** 10036 NE 185TH ST, BOTHELL, WA 98011-3432
- **Practice address phone:** (425) 486-7765
- **Mailing address:** 10036 NE 185TH ST, BOTHELL, WA 98011-3432
- **Mailing address phone:** (425) 486-7765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018