| Auburn Avenue Dental | |
|
130 3rd St Ne Auburn WA 98002-4013 | |
| (253) 833-3680 | |
| (253) 833-9581 |
| Full Name | Auburn Avenue Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 3rd St Ne, Auburn, Washington |
| Authorized Official Name and Position | Dipti Srivastava (OWNER DENTIST) |
| Authorized Official Contact | 2538333680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Avenue Dental 130 3rd St Ne Auburn WA 98002-4013 Ph: (253) 833-3680 | Auburn Avenue Dental 130 3rd St Ne Auburn WA 98002-4013 Ph: (253) 833-3680 |
| NPI Number | 1730687781 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730687781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60034827 (Washington) | Primary |
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