Organization
WEST COAST DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HUYNH DDS (PRESIDENT)
(206) 765-7217
Entity
Organization
Contact information
Practice address
6108 1/2 MOTOR AVE SW, LAKEWOOD, WA 98499-1529
(206) 765-7217
Mailing address
4337 15TH AVE S, SEATTLE, WA 98108-1447
(206) 765-7217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7913
WA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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