| Southcenter Modern Dentistry | |
|
17420 Southcenter Pkwy Tukwila WA 98188-3701 | |
| (253) 395-5555 | |
| (253) 395-5560 |
| Full Name | Southcenter Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17420 Southcenter Pkwy, Tukwila, Washington |
| Authorized Official Name and Position | Brian S Bienstock (OWNER) |
| Authorized Official Contact | 2533955555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcenter Modern Dentistry 17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8890 | Southcenter Modern Dentistry 17420 Southcenter Pkwy Tukwila WA 98188-3701 Ph: (253) 395-5555 |
| NPI Number | 1205249810 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205249810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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