| Aesthetic Dental Center | |
|
34700 11th Place South Federal Way WA 98003 | |
| (253) 946-9900 | |
| (253) 946-1353 |
| Full Name | Aesthetic Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 34700 11th Place South, Federal Way, Washington |
| Authorized Official Name and Position | Rene Yoshizawa (BUSINESS MANAGER) |
| Authorized Official Contact | 2539469900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Center 34700 11th Place South Federal Way WA 98003 Ph: (253) 946-9900 | Aesthetic Dental Center 34700 11th Place South Federal Way WA 98003 Ph: (253) 946-9900 |
| NPI Number | 1952524167 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952524167 | NPI | - | NPPES |
| 5036751 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE8729 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | DE8694 (Washington) | Secondary |
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