| Puyallup Smiles Dentistry | |
|
16810 Meridian E Ste J107 Puyallup WA 98375-9604 | |
| (253) 848-7777 | |
| Not Available |
| Full Name | Puyallup Smiles Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16810 Meridian E Ste J107, Puyallup, Washington |
| Authorized Official Name and Position | Brian Bienstock (DENTIST) |
| Authorized Official Contact | 2538487777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Smiles Dentistry 16810 Meridian E Ste J107 Puyallup WA 98375-9604 Ph: (253) 848-7777 | Puyallup Smiles Dentistry 16810 Meridian E Ste J107 Puyallup WA 98375-9604 Ph: (253) 848-7777 |
| NPI Number | 1114324795 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114324795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60386595 (Washington) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DE60481607 (Washington) | Secondary |
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› Verified 9 days ago
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