Crystal Dental Inc.

NPI 1184047466 - Dentist - 1223G0001X

NPI Details
NPI 1184047466
Enumeration Date 01/23/2014
Last Updated 01/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHRIS JOON CHRIS
Position DENTIST
Phone (425) 282-4182
Fax (425) 572-6072
Practice Location
12644 164TH AVE SE
RENTON WA, 98059-6403, US
Phone (425) 282-4182
Fax (425) 572-6072
Business Location
12644 164TH AVE SE
RENTON WA, 98059-6403, US
Phone (425) 282-4182
Fax (425) 572-6072
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE60389882
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According to our database, Crystal Dental Inc. NPI is 1184047466, taxonomy code is 1223G0001X and license number is DE60389882, license state is located at Washington. Crystal Dental Inc. physically located at 12644 164th Ave Se, Renton WA, 98059-6403. NPI Number 1033115704 has the healthcare provider type.

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1184047466 NPI number is provided on an as is basis without warranty of any kind. 1184047466 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Dental Inc. are for informational purposes only.