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Organization

SMILE BRIGHT DENTURE CENTER LLC

Active
Parent organization
SMILE BRIGHT DENTURE CENTER, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SMILE BRIGHT DENTURE CENTER, LLC
Authorized official
MR. DUNG Q PHAM DN (DENTURIST)
(425) 355-4409
Entity
Organization

Contact information

Practice address
315 E CASINO RD, SUITE B, EVERETT, WA 98208-1846
(425) 355-4409
Mailing address
315 E CASINO RD, SUITE B, EVERETT, WA 98208-1846
(425) 355-4409

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000360
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
504-5992
WA
05
504-9556
WA
Enumeration date
11/01/2006
Last updated
05/01/2013
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