Organization
GREAT SMILE DENTAL
Active
Other names
Great Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA D MORTELL DMD (DENTIST/OWNER)
(425) 788-1551
Entity
Organization
Contact information
Practice address
26425 NE ALLEN ST STE 102, DUVALL, WA 98019-8628
(425) 788-1551
Mailing address
26425 NE ALLEN ST STE 102, DUVALL, WA 98019-8628
(425) 788-1551
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/07/2019
Last updated
02/07/2019
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