Organization
TLC DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMIDREZA BARAKHSHAN D.D.S. (DENTIST/OWNER)
(360) 373-3487
Entity
Organization
Contact information
Practice address
4207 WHEATON WAY, SUITE C, BREMERTON, WA 98310-3605
(360) 373-3487
(360) 373-3799
Mailing address
4207 WHEATON WAY, SUITE C, BREMERTON, WA 98310-3605
(360) 373-3487
(360) 373-3799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009257
WA
Other
Enumeration date
05/27/2008
Last updated
12/26/2019
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