Organization
CONSOLIDATED DENTAL THREE
Active
Other names
Valley Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA D'NICHOLE MORTELL DMD (OWNER/ DENTIST)
(206) 787-0132
Entity
Organization
Contact information
Practice address
19221 108TH AVE SE STE 2, RENTON, WA 98055-7369
(425) 988-0801
Mailing address
19221 108TH AVE SE STE 2, RENTON, WA 98055-7369
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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