# SOBCZAK WENCEL RESTORATIVE DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1770652075
- **Authorized official:** DR. RANDALL RICHARD SOBCZAK DDS (OWNER)
- **Authorized official phone:** (425) 485-9557

## Contact information

- **Practice address:** 18323 98TH AVE NE, BOTHELL, WA 98011
- **Practice address phone:** (425) 485-9557
- **Practice address fax:** (425) 402-6837
- **Mailing address:** 18323 98TH AVE NE, BOTHELL, WA 98011
- **Mailing address phone:** (425) 485-9557
- **Mailing address fax:** (425) 402-6837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00007840 | WA | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020