# WASHINGTON DENTAL CORPORATION, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Federal Way Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689140758
- **Authorized official:** JESSICA AHN (OWNER)
- **Authorized official phone:** (253) 432-8942

## Contact information

- **Practice address:** 164 SW CAMPUS DR STE 101, FEDERAL WAY, WA 98023-7926
- **Practice address phone:** (253) 432-8942
- **Practice address fax:** (253) 432-8945
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (303) 952-0892

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 12/26/2023