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Contact Information

BEAUTIFUL SMILES DENTAL LLC
18521 101ST AVE NE
BOTHELL, WA98011-3803
 Phone: 425-487-1551
 Fax: 425-487-2160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Denturist

122400000X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for BEAUTIFUL SMILES DENTAL LLC

NPI # 1194991646
LBN Legal business name BEAUTIFUL SMILES DENTAL LLC
Authorized official TATE TODOROVIC - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2008
Last updated 05/05/2008 - About 18 years ago
Identifiers
WA License # DE00009891
WA License # DE00010705
WA License # DE00010721
WA License # DN00000331
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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