Organization
WASHINGTON STATE SMILE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANN MILLS RDH (PROGRAM DIRECTOR)
(206) 909-1365
Entity
Organization
Contact information
Practice address
221 WINSLOW WAY W, 302, BAINBRIDGE ISLAND, WA 98110-4915
(206) 909-1365
Mailing address
221 WINSLOW WAY W, 302, BAINBRIDGE ISLAND, WA 98110-4915
(206) 909-1365
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901111
—
WA
Enumeration date
08/31/2007
Last updated
08/31/2007
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