is a Dental Clinic in University Place, Washington. It is located at 2607 Bridgeport Way W, Suite 1k, University Place, WA and its contact number is 253-564-2701. The authorized person for is Dr. Prasith Kim-aun
who is President of the clinic and their contact number is 253-564-2701. The primary license number for is DE9156 (General Practice) in Washington. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
2607 Bridgeport Way W, Suite 1k, University Place, Washington, 98466-4700
Phone:
253-564-2701
Fax:
253-566-3638
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Prasith Kim-aun
Position:
President
Contact Number:
253-564-2701
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1558416586
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
DE9156
Washington
Primary
General Practice
DE9609
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2607 Bridgeport Way W, Suite 1k University Place, Washington
Zip:
98466-4700
Phone Number:
253-564-2701
Fax Number:
253-566-3638
Patients can reach at 2607 Bridgeport Way W, Suite 1k, University Place, Washington or can call to book an appointment on 253-564-2701. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.