| Organization Name: | ADVANCED DENTAL & DENTURE PLLC |
| NPI Number: | 1760734842 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | QUOC WAN NGO (OWNER DENTURIES) |
| Mailing Address: | 17694 1st Ave S Burien |
| State: | WA US |
| Postal Code: | 981481729 |
| Phone Number: | 2063356468 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2012 |
| NPI Last Update Date: | 10/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN00000449 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |