| A Street Dental Clinic | |
|
902 A St Se Suite A Auburn WA 98002-6056 | |
| (253) 288-9608 | |
| (253) 288-9631 |
| Full Name | A Street Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 902 A St Se, Auburn, Washington |
| Authorized Official Name and Position | Kevin C Leung (PRACTICE OWNER/DENTIST) |
| Authorized Official Contact | 2532889608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Street Dental Clinic 702 Sw 294th St Federal Way WA 98023-3542 Ph: (253) 288-9608 | A Street Dental Clinic 902 A St Se Suite A Auburn WA 98002-6056 Ph: (253) 288-9608 |
| NPI Number | 1083799068 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083799068 | NPI | - | NPPES |
| 5040621 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9810 (Washington) | Primary |
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