# WASHINGTON DENTAL CORPORATION, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Issaquah Highlands Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962824243
- **Authorized official:** DR. JESSICA AHN (OWNER)
- **Authorized official phone:** (425) 414-7001

## Contact information

- **Practice address:** 1416 HIGHLANDS DR NE, SUITE 120, ISSAQUAH, WA 98029-6240
- **Practice address phone:** (425) 557-9000
- **Practice address fax:** (425) 557-9003
- **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:** 01/06/2014
- **Last updated:** 12/26/2023
