# SPECIAL DELIVERY DENTAL CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Geriatric Dental Group of WA State
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568647683
- **Authorized official:** AMY T LINDER (DIRECTOR)
- **Authorized official phone:** (253) 839-1300

## Contact information

- **Practice address:** 728 S 320TH ST, SUITE A, FEDERAL WAY, WA 98003-5255
- **Practice address phone:** (253) 839-1300
- **Mailing address:** 728 S 320TH ST, SUITE A, FEDERAL WAY, WA 98003-5255
- **Mailing address phone:** (253) 839-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 602676351 | WA | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 07/30/2012
