Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
University Place Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S BIENSTOCK DDS (OWNER)
(253) 215-1107
Entity
Organization
Contact information
Practice address
3708 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4419
(253) 215-1107
(253) 617-0729
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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