| Js Dental Clinic, Llc | |
|
9735 S 222nd St Kent WA 98031-2410 | |
| (206) 661-0520 | |
| Not Available |
| Full Name | Js Dental Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9735 S 222nd St, Kent, Washington |
| Authorized Official Name and Position | Lolita Guevarra Santos (DENTURIST) |
| Authorized Official Contact | 2066610520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Js Dental Clinic, Llc 9735 S 222nd St Kent WA 98031-2410 Ph: (206) 661-0520 | Js Dental Clinic, Llc 9735 S 222nd St Kent WA 98031-2410 Ph: (206) 661-0520 |
| NPI Number | 1023376225 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023376225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 603197556 (Washington) | Primary |
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