| Great Smile Dental | |
|
26425 Ne Allen St Ste 102 Duvall WA 98019-8628 | |
| (425) 788-1551 | |
| Not Available |
| Full Name | Great Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26425 Ne Allen St Ste 102, Duvall, Washington |
| Authorized Official Name and Position | Chelsea D Mortell (DENTIST/OWNER) |
| Authorized Official Contact | 4257881551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smile Dental 26425 Ne Allen St Ste 102 Duvall WA 98019-8628 Ph: (425) 788-1551 | Great Smile Dental 26425 Ne Allen St Ste 102 Duvall WA 98019-8628 Ph: (425) 788-1551 |
| NPI Number | 1013472687 |
|---|---|
| Provider Enumeration Date | 02/07/2019 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013472687 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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