Organization
WASHINGTON DENTAL CORPORATION PC
Active
Other names
Southcenter Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S BIENSTOCK DDS (OWNER)
(253) 395-5555
Entity
Organization
Contact information
Practice address
17420 SOUTHCENTER PKWY, TUKWILA, WA 98188-3701
(253) 395-5555
(253) 395-5560
Mailing address
17000 RED HILL AVENUE, IRVINE, CA 92614
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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