# RESCHENTHALER AND RESCHENTHALER, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Queen Anne Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639735863
- **Authorized official:** DR. GRANT POTTER RESCHENTHALER DMD (OWNER DENTIST)
- **Authorized official phone:** (412) 719-0174

## Contact information

- **Practice address:** 14 BOSTON ST, SEATTLE, WA 98109-2319
- **Practice address phone:** (206) 284-2136
- **Mailing address:** 9555 NE DANIEL CT, BAINBRIDGE ISLAND, WA 98110-1319
- **Mailing address phone:** (412) 719-0174

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2019
- **Last updated:** 05/13/2019