| Pacific Highway Dental Associates | |
|
27020 Pacific Hwy S Suite C Kent WA 98032-6951 | |
| (253) 529-9434 | |
| Not Available |
| Full Name | Pacific Highway Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27020 Pacific Hwy S, Kent, Washington |
| Authorized Official Name and Position | Charles Henry Pan (PRESIDENT) |
| Authorized Official Contact | 2535299434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Highway Dental Associates 27020 Pacific Hwy S Suite C Kent WA 98032-6951 Ph: (253) 529-9434 | Pacific Highway Dental Associates 27020 Pacific Hwy S Suite C Kent WA 98032-6951 Ph: (253) 529-9434 |
| NPI Number | 1285951327 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285951327 | NPI | - | NPPES |
| 5022967 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00007305 (Washington) | Primary |
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› Verified 4 days ago
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