# WASHINGTON DENTAL CORPORATION, PC

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

## Provider details

- **NPI number:** 1790383867
- **Authorized official:** BRIAN S BIENSTOCK (OWNER)
- **Authorized official phone:** (206) 962-2835

## Contact information

- **Practice address:** 620 1ST AVE N, SEATTLE, WA 98109-4001
- **Practice address phone:** (206) 962-2835
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-5626
- **Mailing address phone:** (714) 845-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2020
- **Last updated:** 12/26/2023