Organization
WASHINGTON DENTAL CORPORATION, PC
Active
Other names
Lacey Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S BIENSTOCK DDS (OWNER)
(360) 528-7878
Entity
Organization
Contact information
Practice address
5122 YELM HWY SE, SUITE E, LACEY, WA 98503-5034
(360) 528-7878
(360) 528-7754
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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