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Organization

MAPLE VALLEY DENTISTRY PROFESSIONALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERNARDO EZEQUIEL TAINA D.D.S (PRESIDENT)
(425) 433-0600
Entity
Organization

Contact information

Practice address
24015 SE KENT KANGLEY RD, SUITE C, MAPLE VALLEY, WA 98038-6802
(425) 433-0600
(425) 433-0877
Mailing address
24015 SE KENT KANGLEY RD, SUITE C, MAPLE VALLEY, WA 98038-6802
(425) 433-0600
(425) 433-0877

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009306
WA

Other

Enumeration date
06/07/2010
Last updated
04/15/2022
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