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Organization
MT SI DENTAL CENTER
Active
Organization
MT SI DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS W BRAIN D.D.S (DENTIST)
(425) 888-6522
Entity
Organization
Contact information
Practice address
208 MAIN AVE S, NORTH BEND, WA 98045-8258
(425) 888-6522
Mailing address
PO BOX 1099, NORTH BEND, WA 98045-1099
(425) 888-6522
(425) 888-6526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7403
WA
Other
Enumeration date
11/09/2006
Last updated
06/19/2008
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