Organization
HEALTHY SMILES DENTAL AND DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN TANCHOCO ALCANTARA (OFFICE MANAGER)
(206) 683-0565
Entity
Organization
Contact information
Practice address
220 SW SUNSET BLVD, SUITE C103, RENTON, WA 98057-2320
(425) 276-5607
(425) 496-8045
Mailing address
220 SW SUNSET BLVD, SUITE C103, RENTON, WA 98057-2320
(425) 276-5607
(425) 496-8045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN00000046
WA
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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