| Consolidated Dental Three | |
|
19221 108th Ave Se Ste 2 Renton WA 98055-7369 | |
| (425) 988-0801 | |
| Not Available |
| Full Name | Consolidated Dental Three |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19221 108th Ave Se Ste 2, Renton, Washington |
| Authorized Official Name and Position | Chelsea D'nichole Mortell (OWNER/ DENTIST) |
| Authorized Official Contact | 2067870132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Dental Three 19221 108th Ave Se Ste 2 Renton WA 98055-7369 Ph: () - | Consolidated Dental Three 19221 108th Ave Se Ste 2 Renton WA 98055-7369 Ph: (425) 988-0801 |
| NPI Number | 1164039731 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164039731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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