# MOUNTAIN SMILES - BURLINGTON FAMILY DENTAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burlington Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659129294
- **Authorized official:** NICK SUNDIAM (CREDENTIALING MANAGER)
- **Authorized official phone:** (719) 300-5933

## Contact information

- **Practice address:** 1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
- **Practice address phone:** (360) 755-7566
- **Practice address fax:** (719) 414-0027
- **Mailing address:** 1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
- **Mailing address phone:** (360) 755-7566
- **Mailing address fax:** (719) 414-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2024
- **Last updated:** 01/29/2025