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Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Vancouver Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM MENA (OWNER)
(360) 768-0936
Entity
Organization
Contact information
Practice address
14411 NE FOURTH PLAIN, SUITE 134, VANCOUVER, WA 98682
(360) 768-0936
Mailing address
PO BOX 920050, DALLAS, TX 75392-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
11/29/2023
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