| Washington Dental Federal Way, Llc | |
|
31515 Pete Von Reichbauer Way S Unit 108 Federal Way WA 98003-5599 | |
| (206) 592-2442 | |
| Not Available |
| Full Name | Washington Dental Federal Way, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31515 Pete Von Reichbauer Way S Unit 108, Federal Way, Washington |
| Authorized Official Name and Position | Yong Park (CEO) |
| Authorized Official Contact | 2065922442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dental Federal Way, Llc 4040 Orchard St W Ste 200 Fircrest WA 98466-6615 Ph: (253) 393-2700 | Washington Dental Federal Way, Llc 31515 Pete Von Reichbauer Way S Unit 108 Federal Way WA 98003-5599 Ph: (206) 592-2442 |
| NPI Number | 1417506486 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417506486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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