Organization
IMAGE FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY TUAN TRAN (OWNER/OFFICE MANANGER)
(425) 656-2919
Entity
Organization
Contact information
Practice address
18123 E VALLEY HWY, SUITE B-104, KENT, WA 98032-1007
(425) 656-2919
(425) 656-7878
Mailing address
18123 E VALLEY HWY, SUITE B-104, KENT, WA 98032-1007
(425) 656-2919
(425) 656-7878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5050893
—
WA
Enumeration date
07/08/2010
Last updated
07/08/2010
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