Organization
ADVANCED DENTAL & DENTURE PLLC
Active
Other names
Advanced Dental & Denture
Organization subpart
No
Provider details
NPI number
Authorized official
QUOC WAN NGO LD (OWNER DENTURIES)
(206) 335-6468
Entity
Organization
Contact information
Practice address
17694 1ST AVE S, BURIEN, WA 98148-1729
(206) 335-6468
Mailing address
17694 1ST AVE S, BURIEN, WA 98148-1729
(206) 335-6468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010512
WA
122400000X
Denturist
DN00000449
WA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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