# CHARTER COLLEGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charter College Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912279803
- **Authorized official:** MICHAEL DAWSON (PRESIDENT/CEO)
- **Authorized official phone:** (775) 737-7403

## Contact information

- **Practice address:** 410 W BAKERVIEW RD STE 112, BELLINGHAM, WA 98226-8184
- **Practice address phone:** (360) 647-5000
- **Practice address fax:** (360) 647-5002
- **Mailing address:** 750 SANDHILL RD STE 100, RENO, NV 89521-4943
- **Mailing address phone:** (775) 849-9900
- **Mailing address fax:** (775) 284-9905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00009350 | WA | Yes |

## Other

- **Enumeration date:** 02/07/2012
- **Last updated:** 02/07/2012