OrganizationActive
Advanced Family Dentistry
NPI 1215760608 · Dentist · Kent, WA
Provider details
- NPI number
- 1215760608
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sofiya Dzhalovskiy, Office Manager(253) 239-5020
Specialties & taxonomies
Dental Providers
Practice location
24909 104th Ave Se Ste 102
Kent, WA 98030-2819
Phone: (253) 239-5020
Approximate (ZIP-level) locationGet directions
Mailing address
24909 104th Ave Se Ste 102
Kent, WA 98030-2819
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-23
- Certified
- 2024-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.