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Organization

CARING FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNY TIEN DDS (DENTIST OWNER)
(425) 745-6310
Entity
Organization

Contact information

Practice address
805 164TH STREET SE, SUITE 200, MILL CREEK, WA 98012
(425) 745-6310
(425) 745-6170
Mailing address
805 164TH STREET SE, SUITE 200, MILL CREEK, WA 98012
(425) 745-6310
(425) 745-6170

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9296
WA
1223G0001X
General Practice Dentistry
Primary
9339
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5047956
WA
Enumeration date
11/16/2006
Last updated
08/22/2020
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