Great Wall Clinic is a renowned Dental office in Kent, Washington. It is located at 18230 E Valley Hwy, 168, Kent, WA and its contact number is 425-656-9025. The authorized person for Great Wall Clinic is Ephraim Rollolazo
who is Office Manager of the place and their contact number is 425-656-9025. The primary license number for Great Wall Clinic is DE00007365 (Dental) in Washington.
Great Wall Clinic Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Great Wall Clinic Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Great Wall Clinic |
| Specialization: | Dentistry |
| Address: | 18230 E Valley Hwy, 168, Kent,
Washington, 98032-1259 |
| Phone: | 425-656-9025 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Ephraim Rollolazo |
| Position: | Office Manager |
| Contact Number: | 425-656-9025 |
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 Great Wall Clinic Office are as mentioned below.
| NPI Number: | 1184952079 |
| NPI Enumeration Date: | 03 Dec, 2009 |
| NPI Last Update On: | 03 Dec, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Wall Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | DE00007365 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5034616 | Other | Washington | Dshs Provider Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Great Wall Clinic
18230 E Valley Hwy, 168
Kent, Washington |
| Zip: | 98032-1259 |
| Phone Number: | -- |
Patients can reach Great Wall Clinic at
18230 E Valley Hwy, 168, Kent, Washington or can
call to book an appointment on 425-656-9025.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.