Organization
AESTHETIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE YOSHIZAWA MHSA (BUSINESS MANAGER)
(425) 825-0626
Entity
Organization
Contact information
Practice address
9800 NE 120TH PL STE D, KIRKLAND, WA 98034-4220
(425) 825-0626
(425) 823-9654
Mailing address
9800 NE 120TH PL STE D, KIRKLAND, WA 98034-4220
(425) 825-0626
(425) 823-9654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047725
—
WA
Enumeration date
04/18/2007
Last updated
06/16/2008
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