Organization
WEST HILL DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANTE RENEE JOHNSON (RECEPTIONIST)
(253) 373-0000
Entity
Organization
Contact information
Practice address
24718 36TH AVE S, KENT, WA 98032-4105
(253) 373-0000
Mailing address
24718 36TH AVE S, KENT, WA 98032-4105
(253) 373-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7648
WA
1223G0001X
General Practice Dentistry
Primary
7648
WA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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