| Enable Dental | |
|
19011 68th Ave S Ste A100 Kent WA 98032-2108 | |
| (512) 861-1337 | |
| (866) 815-3719 |
| Full Name | Enable Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19011 68th Ave S, Kent, Washington |
| Authorized Official Name and Position | Benjamin Tiggelaar (AUTHORIZED AGENT) |
| Authorized Official Contact | 5129804648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enable Dental 5555 N Lamar Blvd Ste H125 Austin TX 78751 Ph: (512) 861-1337 | Enable Dental 19011 68th Ave S Ste A100 Kent WA 98032-2108 Ph: (512) 861-1337 |
| NPI Number | 1821753013 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821753013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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