| Image Family Dental, Llc | |
|
18123 E Valley Hwy Suite B-104 Kent WA 98032-1007 | |
| (425) 656-2919 | |
| (425) 656-7878 |
| Full Name | Image Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18123 E Valley Hwy, Kent, Washington |
| Authorized Official Name and Position | Danny Tuan Tran (OWNER/OFFICE MANANGER) |
| Authorized Official Contact | 4256562919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image Family Dental, Llc 18123 E Valley Hwy Suite B-104 Kent WA 98032-1007 Ph: (425) 656-2919 | Image Family Dental, Llc 18123 E Valley Hwy Suite B-104 Kent WA 98032-1007 Ph: (425) 656-2919 |
| NPI Number | 1649582529 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649582529 | NPI | - | NPPES |
| 5050893 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10102 (Washington) | Primary |
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