Organization
WASHINGTON STATE SMILE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATE MILLS RDH (DIRECTOR)
(206) 909-1365
Entity
Organization
Contact information
Practice address
221 WINSLOW WAY W STE 302, BAINBRIDGE IS, WA 98110-4917
(206) 909-1365
Mailing address
221 WINSLOW WAY W STE 302, BAINBRIDGE IS, WA 98110-4917
(206) 909-1365
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004517
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902168
—
WA
Enumeration date
08/17/2007
Last updated
08/17/2007
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