Organization
GREEN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMRITPAL MATTU DDS (DENTIST)
(425) 753-1163
Entity
Organization
Contact information
Practice address
23040 PACIFIC HWY S STE 311, DES MOINES, WA 98198-7268
(206) 878-3111
Mailing address
23040 PACIFIC HWY S STE 311, DES MOINES, WA 98198-7268
(206) 878-3111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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