# TVETEN DENTAL CARE LLC

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

## Provider details

- **NPI number:** 1982949640
- **Authorized official:** DR. BRANDON DEAN TVETEN DDS (OWNER)
- **Authorized official phone:** (509) 662-6857

## Contact information

- **Practice address:** 222 N CHELAN AVE, WENATCHEE, WA 98801-2105
- **Practice address phone:** (509) 662-6857
- **Practice address fax:** (509) 663-8905
- **Mailing address:** 222 N CHELAN AVE, WENATCHEE, WA 98801-2105
- **Mailing address phone:** (509) 662-6857
- **Mailing address fax:** (509) 663-8905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008492 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00008505 | WA | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 03/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1223G0001X | — | WA |