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Organization
MOUNTAIN SMILES - BURLINGTON FAMILY DENTAL CARE, PLLC
Active
Organization
MOUNTAIN SMILES - BURLINGTON FAMILY DENTAL CARE, PLLC
Active
Other names
Burlington Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
(360) 755-7566
(719) 414-0027
Mailing address
1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
(360) 755-7566
(719) 414-0027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
01/29/2025
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