Organization
TOWN SQUARE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HUNTER (BUSINESS MANAGER)
(206) 241-2091
Entity
Organization
Contact information
Practice address
610 SW 152ND ST, BURIEN, WA 98166-2213
(206) 241-2091
(206) 241-1908
Mailing address
610 SW 152ND ST, BURIEN, WA 98166-2213
(206) 241-2091
(206) 241-1908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005907
WA
122300000X
Dentist
DE60099970
WA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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