Organization
POWER WARRIORS INVESTMENTS LLC
Active
Other names
Smile Forever Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG THANH DANG DDS (MANAGER/DENTIST)
(253) 588-6208
Entity
Organization
Contact information
Practice address
9873 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-2895
(253) 588-6208
(253) 582-0626
Mailing address
9873 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-2895
(253) 588-6208
(253) 582-0626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60113220
WA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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