# IMAGE FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1649582529
- **Authorized official:** MR. DANNY TUAN TRAN (OWNER/OFFICE MANANGER)
- **Authorized official phone:** (425) 656-2919

## Contact information

- **Practice address:** 18123 E VALLEY HWY, SUITE B-104, KENT, WA 98032-1007
- **Practice address phone:** (425) 656-2919
- **Practice address fax:** (425) 656-7878
- **Mailing address:** 18123 E VALLEY HWY, SUITE B-104, KENT, WA 98032-1007
- **Mailing address phone:** (425) 656-2919
- **Mailing address fax:** (425) 656-7878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10102 | WA | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 07/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5050893 | — | WA |