| Milestone Dental Group | |
|
16330 Se 256th St Covington WA 98042-4233 | |
| (206) 245-3349 | |
| Not Available |
| Full Name | Milestone Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16330 Se 256th St, Covington, Washington |
| Authorized Official Name and Position | Christopher Jin Park (DENTIST) |
| Authorized Official Contact | 2062453349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Dental Group 10610 Ne 9th Pl Unit 1103 Bellevue WA 98004-8640 Ph: (206) 245-3349 | Milestone Dental Group 16330 Se 256th St Covington WA 98042-4233 Ph: (206) 245-3349 |
| NPI Number | 1245612423 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 06/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245612423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60229142 (Washington) | Primary |
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