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Organization
AUBURN AVENUE DENTAL
Active
Organization
AUBURN AVENUE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI SRIVASTAVA DDSA (OWNER DENTIST)
(253) 833-3680
Entity
Organization
Contact information
Practice address
130 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-3680
(253) 833-9581
Mailing address
130 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-3680
(253) 833-9581
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60034827
WA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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