# CARING FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1861565079
- **Authorized official:** DR. JOHNNY TIEN DDS (DENTIST OWNER)
- **Authorized official phone:** (425) 745-6310

## Contact information

- **Practice address:** 805 164TH STREET SE, SUITE 200, MILL CREEK, WA 98012
- **Practice address phone:** (425) 745-6310
- **Practice address fax:** (425) 745-6170
- **Mailing address:** 805 164TH STREET SE, SUITE 200, MILL CREEK, WA 98012
- **Mailing address phone:** (425) 745-6310
- **Mailing address fax:** (425) 745-6170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9296 | WA | — |
| 1223G0001X | General Practice Dentistry | 9339 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5047956 | — | WA |