Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Belltown Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R POLILLO DDS (OWNER)
(206) 494-9050
Entity
Organization
Contact information
Practice address
2326 5TH AVE, SEATTLE, WA 98121
(206) 494-9050
(206) 438-3863
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
04/10/2017
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