Organization
FIRCREST FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARI LEE (OFFICE MANAGER)
(253) 292-0596
Entity
Organization
Contact information
Practice address
4040 ORCHARD ST W STE 200, FIRCREST, WA 98466-6615
(253) 292-0596
Mailing address
3670 BRIDGEPORT WAY W UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023163425
—
WA
Enumeration date
10/25/2018
Last updated
10/25/2018
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