| Renton Smile Dentistry | |
|
1107 Sw Grady Way Suite 250 Renton WA 98057-5217 | |
| (425) 687-8860 | |
| (425) 687-8863 |
| Full Name | Renton Smile Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1107 Sw Grady Way, Renton, Washington |
| Authorized Official Name and Position | Elizabeth Nikolaeva Manchester (DENTIST/OWNER) |
| Authorized Official Contact | 2068028414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renton Smile Dentistry 1107 Sw Grady Way Suite 250 Renton WA 98057-5217 Ph: (425) 687-8860 | Renton Smile Dentistry 1107 Sw Grady Way Suite 250 Renton WA 98057-5217 Ph: (425) 687-8860 |
| NPI Number | 1982092805 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982092805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60475234 (Washington) | Primary |
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