Organization
THE SMILE INSTITUTE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY C. TANG D.D.S. (PRESIDENT)
(612) 240-5067
Entity
Organization
Contact information
Practice address
14711 FRYELANDS BLVD SE, SUITE 111, MONROE, WA 98272-2944
(612) 240-5067
Mailing address
14711 FRYELANDS BLVD SE, SUITE 111, MONROE, WA 98272-2944
(612) 240-5067
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60083251
WA
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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