Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Vancouver Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM MENA (OWNER)
(360) 768-0936
Entity
Organization
Contact information
Practice address
14411 NE FOURTH PLAIN, SUITE 134, VANCOUVER, WA 98682
(360) 768-0936
Mailing address
PO BOX 920050, DALLAS, TX 75392-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
11/29/2023
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