Organization
CHAN BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN KENWORTHY (PROVIDER)
(469) 963-0340
Entity
Organization
Contact information
Practice address
19020 BOTHELL WAY NE STE A, BOTHELL, WA 98011-2996
(425) 485-9332
Mailing address
19020 BOTHELL WAY NE STE A, BOTHELL, WA 98011-2996
(907) 738-3204
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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