Organization
SMILEQUEST PREVENTIVE ORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY T YAMAMOTO MHPA RDH (DIRECTOR)
(509) 349-7420
Entity
Organization
Contact information
Practice address
605 W 1ST STREET, WARDEN, WA 98857
(509) 349-7420
(509) 349-2357
Mailing address
PO BOX 100, 605 W 1ST STREET, WARDEN, WA 98857
(509) 349-7420
(509) 349-2357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5029244
—
WA
Enumeration date
08/24/2006
Last updated
08/22/2020
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