Organization
JS DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLITA GUEVARRA SANTOS DENTURIST (DENTURIST)
(206) 661-0520
Entity
Organization
Contact information
Practice address
9735 S 222ND ST, KENT, WA 98031-2410
(206) 661-0520
Mailing address
9735 S 222ND ST, KENT, WA 98031-2410
(206) 661-0520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
603197556
WA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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