| Sunset Dental Center | |
|
1314 Union Ave Ne Suite 8 Renton WA 98059-3959 | |
| (425) 227-9774 | |
| Not Available |
| Full Name | Sunset Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1314 Union Ave Ne, Renton, Washington |
| Authorized Official Name and Position | Homayoon Fotovatjah (OWNER) |
| Authorized Official Contact | 4252279774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Dental Center 1314 Union Ave Ne Suite 8 Renton WA 98059-3959 Ph: (425) 227-9774 | Sunset Dental Center 1314 Union Ave Ne Suite 8 Renton WA 98059-3959 Ph: (425) 227-9774 |
| NPI Number | 1316265002 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316265002 | NPI | - | NPPES |
| 5019823 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 00006854 (Washington) | Primary |
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