Organization
WASHINGTON DENTAL SERVICE
Active
Other names
SmileMobile
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA SMITH MPA (CEO)
(206) 528-2335
Entity
Organization
Contact information
Practice address
9706 4TH AVE NE, SEATTLE, WA 98115-2157
(206) 528-2337
(206) 985-4950
Mailing address
9706 4TH AVE NE, SEATTLE, WA 98115-2157
(206) 528-2337
(206) 985-4950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004485
WA
1223G0001X
General Practice Dentistry
DE00005222
WA
1223G0001X
General Practice Dentistry
DE00005252
WA
1223G0001X
General Practice Dentistry
DE00005474
WA
1223G0001X
General Practice Dentistry
DE00006700
WA
1223P0221X
Pediatric Dentistry
DE00005772
WA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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