Organization
THE NEW FACE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN M TENNANT DDS (OWNER)
(206) 281-8300
Entity
Organization
Contact information
Practice address
200 W MERCER ST, SUITE 205, SEATTLE, WA 98119-3995
(206) 281-8300
Mailing address
200 W MERCER ST, SUITE 205, SEATTLE, WA 98119-3995
(206) 281-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10286
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225083553
NPI INDIVIDUAL
WA
Enumeration date
12/13/2016
Last updated
12/13/2016
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