# TLC DENTAL INC.

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

## Provider details

- **NPI number:** 1720246762
- **Authorized official:** HAMIDREZA BARAKHSHAN D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (360) 373-3487

## Contact information

- **Practice address:** 4207 WHEATON WAY, SUITE C, BREMERTON, WA 98310-3605
- **Practice address phone:** (360) 373-3487
- **Practice address fax:** (360) 373-3799
- **Mailing address:** 4207 WHEATON WAY, SUITE C, BREMERTON, WA 98310-3605
- **Mailing address phone:** (360) 373-3487
- **Mailing address fax:** (360) 373-3799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009257 | WA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 12/26/2019