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Organization

ADVANCED FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOFIYA DZHALOVSKIY (OFFICE MANAGER)
(253) 239-5020
Entity
Organization

Contact information

Practice address
24909 104TH AVE SE STE 102, KENT, WA 98030-2819
(253) 239-5020
Mailing address
24909 104TH AVE SE STE 102, KENT, WA 98030-2819
(253) 239-5020

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/22/2024
Last updated
08/23/2024
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