# AESTHETIC DENTAL CENTER

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

## Provider details

- **NPI number:** 1659597474
- **Authorized official:** RENE YOSHIZAWA MHSA (BUSINESS MANAGER)
- **Authorized official phone:** (425) 825-0626

## Contact information

- **Practice address:** 9800 NE 120TH PL STE D, KIRKLAND, WA 98034-4220
- **Practice address phone:** (425) 825-0626
- **Practice address fax:** (425) 823-9654
- **Mailing address:** 9800 NE 120TH PL STE D, KIRKLAND, WA 98034-4220
- **Mailing address phone:** (425) 825-0626
- **Mailing address fax:** (425) 823-9654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE8729 | WA | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5047725 | — | WA |