| Burien Plaza Dental And Dentures | |
|
116 Sw 148th St Suite D100 Burien WA 98166-1983 | |
| (206) 246-7999 | |
| (206) 246-7788 |
| Full Name | Burien Plaza Dental And Dentures |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 Sw 148th St, Burien, Washington |
| Authorized Official Name and Position | Son C Nguyen (OWNER/DENTIST) |
| Authorized Official Contact | 2062467999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burien Plaza Dental And Dentures 116 Sw 148th St Suite D100 Burien WA 98166-1983 Ph: (206) 246-7999 | Burien Plaza Dental And Dentures 116 Sw 148th St Suite D100 Burien WA 98166-1983 Ph: (206) 246-7999 |
| NPI Number | 1235219049 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235219049 | NPI | - | NPPES |
| 5043534 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9420 (Washington) | Secondary |
| 1223G0001X | Dentist - General Practice | 9402 (Washington) | Primary |
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