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Organization

WASHINGTON DENTAL CORPORATION, PC

Active
Other names
Dentists of West Seattle
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY BOLAK DDS (OWNER)
(206) 928-6242
Entity
Organization

Contact information

Practice address
4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 98116-4667
(206) 928-6242
(206) 973-8794
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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