institution
Great Wall Clinic
Dental Clinic/Center in Kent, Washington
NPI 1184952079

Great Wall Clinic is a Dental Clinic/Center based in Kent, WA and is specialized in Dental. Great Wall Clinic practices in Kent, WA. The NPI Number for Great Wall Clinic is 1184952079 and holds a License No. DE00007365 (Washington).

The current practice location address for Great Wall Clinic is 18230 E Valley Hwy, Kent, WA and can be reached out via phone at 425-656-9025.

Location: 18230 E Valley Hwy, Kent, WA, 98032-1259
institution
Provider Profile Details
NPI Number
1184952079
Provider Name
Great Wall Clinic
Credential
Provider Entity Type
Organization
Address
18230 E Valley Hwy, Kent, WA, 98032-1259
Phone Number
425-656-9025
Fax Number
Provider Enumeration Date
12/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5034616 01 WA DSHS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
18230 E Valley Hwy
City
State
Zip
98032-1259
Phone Number
425-656-9025
Fax Number
person
Provider Business Mailing Address Details
Address
18230 E Valley Hwy
City
State
Zip
98032-1259
Phone Number
425-656-9025
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE00007365 (Washington)
Definition
Definition to come...
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