Organization
PLATINUM DENTAL NORTHWEST LLC
Active
Parent organization
PLATINUM DENTAL NORTHWEST LLC
Other names
Platinum Dentures
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLATINUM DENTAL NORTHWEST LLC
Authorized official
KENDRA BISHOP (COO)
(425) 212-7646
Entity
Organization
Contact information
Practice address
6101 200TH ST SW STE 200, LYNNWOOD, WA 98036-6077
(360) 863-2517
(360) 282-0158
Mailing address
120 AVENUE A STE A, SNOHOMISH, WA 98290-2961
(425) 212-7646
(360) 282-0158
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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