BONNEY LAKE DENTAL CENTER is a general practice dentist in Bonney Lake, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BONNEY LAKE DENTAL CENTER NPI is 1477783199. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9925 214TH AVE E STE A
BONNEY LAKE, WA
ZIP 98391-910
Phone: (253) 863-4594
Fax: (253) 863-5061
The provider's authorized official is Delia Constantin .
The authorized official title is Dentist and has the following contact phone number (253) 863-4594.
The CLIA number assigned to this NPI record is 50D2282128 - other - afh with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/15/2009 and was last updated on 7/15/2009.