# ADVANCED DENTAL & DENTURE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Dental & Denture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760734842
- **Authorized official:** QUOC WAN NGO LD (OWNER DENTURIES)
- **Authorized official phone:** (206) 335-6468

## Contact information

- **Practice address:** 17694 1ST AVE S, BURIEN, WA 98148-1729
- **Practice address phone:** (206) 335-6468
- **Mailing address:** 17694 1ST AVE S, BURIEN, WA 98148-1729
- **Mailing address phone:** (206) 335-6468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010512 | WA | Yes |
| 122400000X | Denturist | DN00000449 | WA | — |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012