| Kent Endodontic Specialists | |
|
221 2nd Ave S Ste 101 Kent WA 98032-5873 | |
| (253) 854-2057 | |
| Not Available |
| Full Name | Kent Endodontic Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 221 2nd Ave S Ste 101, Kent, Washington |
| Authorized Official Name and Position | Brandon Yamamura (OWNER) |
| Authorized Official Contact | 4257652303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Endodontic Specialists 221 2nd Ave S Ste 101 Kent WA 98032-5873 Ph: (253) 854-2057 | Kent Endodontic Specialists 221 2nd Ave S Ste 101 Kent WA 98032-5873 Ph: (253) 854-2057 |
| NPI Number | 1558780585 |
|---|---|
| Provider Enumeration Date | 04/07/2014 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558780585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60205619 (Washington) | Primary |
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