Organization
SOUTH RAINIER DENTISTRY, PLLC
Active
Other names
south rainier dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAT KHOA NGUYEN DDS (MEMBER, MANAGER)
(206) 721-8730
Entity
Organization
Contact information
Practice address
8730 RAINIER AVE S, SEATTLE, WA 98118-4927
(206) 721-8730
(206) 721-5947
Mailing address
8730 RAINIER AVE S, SEATTLE, WA 98118-4927
(206) 721-8730
(206) 721-5947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE10287
WA
1223G0001X
General Practice Dentistry
DE10306
WA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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