| Smile Forever Dental | |
|
9873 Bridgeport Way Sw Ste A Lakewood WA 98499-2895 | |
| (253) 588-6208 | |
| (253) 582-0626 |
| Full Name | Smile Forever Dental |
|---|---|
| Speciality | Dentist |
| Location | 9873 Bridgeport Way Sw Ste A, Lakewood, Washington |
| Authorized Official Name and Position | Phong Thanh Dang (MANAGER/DENTIST) |
| Authorized Official Contact | 2535886208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Forever Dental 9873 Bridgeport Way Sw Ste A Lakewood WA 98499-2895 Ph: (253) 588-6208 | Smile Forever Dental 9873 Bridgeport Way Sw Ste A Lakewood WA 98499-2895 Ph: (253) 588-6208 |
| NPI Number | 1386082741 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386082741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60113220 (Washington) | Primary |
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