| Children's Dental Care Of Bonney Lake | |
|
8412 Myers Rd Suite 101 Bonney Lake WA 98391 | |
| (253) 826-5000 | |
| Not Available |
| Full Name | Children's Dental Care Of Bonney Lake |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8412 Myers Rd, Bonney Lake, Washington |
| Authorized Official Name and Position | Chung Long Hwang (OWNER) |
| Authorized Official Contact | 2538501234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Care Of Bonney Lake 24837 104th Ave Se Suite 201 Kent WA 98030 Ph: (253) 850-1234 | Children's Dental Care Of Bonney Lake 8412 Myers Rd Suite 101 Bonney Lake WA 98391 Ph: (253) 826-5000 |
| NPI Number | 1427249580 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427249580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00007299 (Washington) | Primary |
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