Organization
HEALTHPOINT
Active
Organization
HEALTHPOINT
Active
Other names
HEALTHPOINT MIDWAY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE NAKAMURA (CREDENTIALING)
(425) 277-1311
Entity
Organization
Contact information
Practice address
26401 PACIFIC HWY S., SUITE 201, DES MOINES, WA 98198
(206) 870-3600
(253) 839-1357
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600461511
WA
Other
Enumeration date
11/01/2012
Last updated
10/02/2013
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