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17224 Se 272nd Street Covington WA 98042 | |
(253) 630-4400 | |
(253) 631-2267 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 17224 Se 272nd Street, Covington, Washington |
Authorized Official Name and Position | Otto J Hanssen (DENTIST OWNER) |
Authorized Official Contact | 2536304400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17224 Se 272nd Street Covington WA 98042 Ph: (253) 630-4400 | 17224 Se 272nd Street Covington WA 98042 Ph: (253) 630-4400 |
NPI Number | 1477767333 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1477767333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5262 (* (Not Available)) | Primary |
J. Kim And L. Kim Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17265 Se Wax Rd Ste 101, Covington, WA 98042 Phone: 253-639-6868 | |
Dhaliwal And Dhaliwal Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17327 Se 270th Pl Ste B113, Covington, WA 98042 Phone: 253-854-2714 | |