Organization
SMILE BRIGHT DENTURE CENTER BALLARD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUNG Q PHAM LD (DENTURIST / PRESIDENT)
(206) 782-5253
Entity
Organization
Contact information
Practice address
8541 15TH AVE NW, SEATTLE, WA 98117-3606
(206) 782-5253
Mailing address
315 E CASINO RD STE B, EVERETT, WA 98208-1846
(425) 355-4409
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 00000360
WA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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