Organization
MYDENTIST DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONELA POLOTANU (DENTIST)
(425) 277-7592
Entity
Organization
Contact information
Practice address
333 RAINIER AVE N, RENTON, WA 98057-5358
(425) 277-7592
(425) 277-7590
Mailing address
333 RAINIER AVE N, RENTON, WA 98057-5358
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE 00010919
WA
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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