Organization
BEAUTIFUL SMILES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATE TODOROVIC (OFFICE MANAGER)
(425) 487-1551
Entity
Organization
Contact information
Practice address
18521 101ST AVE NE, BOTHELL, WA 98011-3803
(425) 487-1551
(425) 487-2160
Mailing address
18521 101ST AVE NE, BOTHELL, WA 98011-3803
(425) 487-1551
(425) 487-2160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00010705
WA
1223G0001X
General Practice Dentistry
Primary
DE00010721
WA
1223P0700X
Prosthodontics
DE00009891
WA
122400000X
Denturist
DN00000331
WA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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