| Federal Way Modern Dentistry | |
|
164 Sw Campus Dr Ste 101 Federal Way WA 98023-7926 | |
| (253) 432-8942 | |
| (253) 432-8945 |
| Full Name | Federal Way Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 164 Sw Campus Dr Ste 101, Federal Way, Washington |
| Authorized Official Name and Position | Jessica Ahn (OWNER) |
| Authorized Official Contact | 2534328942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Federal Way Modern Dentistry Po Box 920050 Dallas TX 75392-5626 Ph: (714) 845-8890 | Federal Way Modern Dentistry 164 Sw Campus Dr Ste 101 Federal Way WA 98023-7926 Ph: (253) 432-8942 |
| NPI Number | 1689140758 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689140758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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