Organization
SMILEQUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORTHY YAMAMOTO RDH MHPA (DIRECTOR)
(509) 349-1420
Entity
Organization
Contact information
Practice address
605 W 1ST, WARDEN, WA 98857
(509) 349-7420
(509) 349-2357
Mailing address
605 W 1ST, PO BOX 100, WARDEN, WA 98857
(509) 349-7420
(509) 349-2357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5029244
—
WA
Enumeration date
10/04/2006
Last updated
08/22/2020
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