The Smile Institute, Ltd. | |
14711 Fryelands Blvd Se Suite 111 Monroe WA 98272-2944 | |
(612) 240-5067 | |
Not Available |
Full Name | The Smile Institute, Ltd. |
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Speciality | Clinic/center - Dental |
Location | 14711 Fryelands Blvd Se, Monroe, Washington |
Authorized Official Name and Position | Stanley C. Tang (PRESIDENT) |
Authorized Official Contact | 6122405067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Smile Institute, Ltd. 14711 Fryelands Blvd Se Suite 111 Monroe WA 98272-2944 Ph: (612) 240-5067 | The Smile Institute, Ltd. 14711 Fryelands Blvd Se Suite 111 Monroe WA 98272-2944 Ph: (612) 240-5067 |
NPI Number | 1427280163 |
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Provider Enumeration Date | 08/13/2009 |
Last Update Date | 08/13/2009 |
Identifier | Type | State | Issuer |
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1427280163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE60083251 (Washington) | Primary |
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