| University Place Family & Cosmetic Dentistry | |
|
2607 Bridgeport Way W Suite 1k University Place WA 98466-4700 | |
| (253) 564-2701 | |
| (253) 566-3638 |
| Full Name | University Place Family & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2607 Bridgeport Way W, University Place, Washington |
| Authorized Official Name and Position | Prasith Kim-aun (PRESIDENT) |
| Authorized Official Contact | 2535642701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Place Family & Cosmetic Dentistry 2607 Bridgeport Way W Suite 1k University Place WA 98466-4700 Ph: (253) 564-2701 | University Place Family & Cosmetic Dentistry 2607 Bridgeport Way W Suite 1k University Place WA 98466-4700 Ph: (253) 564-2701 |
| NPI Number | 1558416586 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558416586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE9156 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | DE9609 (Washington) | Secondary |
Ideal Dental - University Place Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3626 Market Pl W Ste 101, University Place, WA 98466 Phone: 253-250-4986 Fax: 253-648-1510 | |
University Place Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7120 40th St W, University Place, WA 98466 Phone: 253-565-4312 Fax: 253-565-9925 | |
Cheiryl Legaspi Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2607 Bridgeport Way W Ste 1k, University Place, WA 98466 Phone: 253-777-2531 Fax: 206-201-3955 | |
Little Sprouts Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4111 Bridgeport Way W, Suite D, University Place, WA 98466 Phone: 626-241-2669 | |
Young Jeremiah Yoon, Dmd,rph, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 Bridgeport Way W, Suite A, University Place, WA 98466 Phone: 253-564-6341 | |
Gary R Shaw Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 Bridgeport Way W, Suite A, University Place, WA 98466 Phone: 253-565-4474 Fax: 253-565-6848 | |
Dr Dennis Burrell Dds And Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4310 Bridgeport Way W, Suite D, University Place, WA 98466 Phone: 253-564-7645 Fax: 253-566-3449 |