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1184135881
REVIVE SMILES DENTISTRY, LLC
SEATTLE, WA
NPI
1184135881
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Entity Type
Organization
Authorized Contact
BILL S WONG
Owner/Dds
206-829-8565
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: WA 9084)
Enumeration Date
2017-10-20
Last Update Date
2021-03-19
Business Address
REVIVE SMILES DENTISTRY, LLC
259 YALE AVE N
SEATTLE, WA 98109-5430
Phone number: 206-829-8565
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Mailing Address
REVIVE SMILES DENTISTRY, LLC
259 YALE AVE N
SEATTLE, WA 98109-5430
Phone number: 206-829-8565
Copy
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