| Green Dentistry | |
|
23040 Pacific Hwy S Ste 311 Des Moines WA 98198-7268 | |
| (206) 878-3111 | |
| Not Available |
| Full Name | Green Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23040 Pacific Hwy S Ste 311, Des Moines, Washington |
| Authorized Official Name and Position | Amritpal Mattu (DENTIST) |
| Authorized Official Contact | 4257531163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Dentistry 23040 Pacific Hwy S Ste 311 Des Moines WA 98198-7268 Ph: (206) 878-3111 | Green Dentistry 23040 Pacific Hwy S Ste 311 Des Moines WA 98198-7268 Ph: (206) 878-3111 |
| NPI Number | 1376028589 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376028589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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