Organization
DENTURE SERVICES NORTHWEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FOSTER (BUSINESS MANAGER)
(253) 565-4435
Entity
Organization
Contact information
Practice address
6323 111TH ST SW, LAKEWOOD, WA 98499-1303
(253) 565-4435
(253) 565-4661
Mailing address
6323 111TH ST SW, LAKEWOOD, WA 98499-1303
(253) 565-4435
(253) 565-4661
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038252
—
WA
Enumeration date
04/04/2019
Last updated
10/02/2019
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