| East Valley Family Dentistry | |
|
200 Sw 41st St Suite 200 Renton WA 98057-4917 | |
| (425) 251-8000 | |
| (425) 251-6174 |
| Full Name | East Valley Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 200 Sw 41st St, Renton, Washington |
| Authorized Official Name and Position | Daniel Dooyong Chang (PRESIDENT) |
| Authorized Official Contact | 4252518000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Family Dentistry 200 Sw 41st St Suite 200 Renton WA 98057-4917 Ph: (425) 251-8000 | East Valley Family Dentistry 200 Sw 41st St Suite 200 Renton WA 98057-4917 Ph: (425) 251-8000 |
| NPI Number | 1306019963 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306019963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00010184 (Washington) | Primary |
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