| Advanced Dental & Denture | |
|
17694 1st Ave S Burien WA 98148-1729 | |
| (206) 335-6468 | |
| Not Available |
| Full Name | Advanced Dental & Denture |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17694 1st Ave S, Burien, Washington |
| Authorized Official Name and Position | Quoc Wan Ngo (OWNER DENTURIES) |
| Authorized Official Contact | 2063356468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental & Denture 17694 1st Ave S Burien WA 98148-1729 Ph: (206) 335-6468 | Advanced Dental & Denture 17694 1st Ave S Burien WA 98148-1729 Ph: (206) 335-6468 |
| NPI Number | 1760734842 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760734842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010512 (Washington) | Primary |
| 122400000X | Denturist | DN00000449 (Washington) | Secondary |
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