Organization
WASHINGTON DENTAL CORPORATION PC
Active
Other names
Puyallup Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BIENSTOCK DDS (DENTIST)
(253) 848-7777
Entity
Organization
Contact information
Practice address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Mailing address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60386595
WA
1223P0221X
Pediatric Dentistry
DE60481607
WA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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