Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Hazel Dell Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S BIENSTOCK DDS (OWNER)
(360) 901-2949
Entity
Organization
Contact information
Practice address
7202 NE HIGHWAY 99, SUITE 100, VANCOUVER, WA 98665-8802
(360) 901-2949
(360) 695-0021
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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