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Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Federal Way Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA AHN (OWNER)
(253) 432-8942
Entity
Organization
Contact information
Practice address
164 SW CAMPUS DR STE 101, FEDERAL WAY, WA 98023-7926
(253) 432-8942
(253) 432-8945
Mailing address
PO BOX 920050, DALLAS, TX 75392-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
12/26/2023
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