| Dentistry @ Renton | |
|
19221 108th Ave Se Ste 4 Renton WA 98055-7369 | |
| (253) 852-4746 | |
| Not Available |
| Full Name | Dentistry @ Renton |
|---|---|
| Speciality | Dentist |
| Location | 19221 108th Ave Se Ste 4, Renton, Washington |
| Authorized Official Name and Position | Brenda Gray (TEAM LEADER) |
| Authorized Official Contact | 2532367456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry @ Renton 21230 State Route 410 E Bonney Lake WA 98391-8789 Ph: (253) 236-7456 | Dentistry @ Renton 19221 108th Ave Se Ste 4 Renton WA 98055-7369 Ph: (253) 852-4746 |
| NPI Number | 1629718978 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629718978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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