Organization
ADVANCED DENTAL IMPLANTS
Active
Other names
reStor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRIN RAPOPORT BDS, MSD (OWNER/ PERIODONTIST)
(206) 575-1086
Entity
Organization
Contact information
Practice address
411 STRANDER BLVD, SUITE 205, TUKWILA, WA 98188-2935
(800) 469-9879
Mailing address
411 STRANDER BLVD, SUITE 205, TUKWILA, WA 98188-2935
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00008508
WA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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