# WASHINGTON DENTAL CORPORATION, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of West Seattle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619635877
- **Authorized official:** KIMBERLY BOLAK DDS (OWNER)
- **Authorized official phone:** (206) 928-6242

## Contact information

- **Practice address:** 4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 98116-4667
- **Practice address phone:** (206) 928-6242
- **Practice address fax:** (206) 973-8794
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (303) 952-0892

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 12/06/2021