Provider Demographics
NPI:1922419837
Name:SOUND CARE IMPLANT & COSMETIC DENTISTRY
Entity Type:Organization
Organization Name:SOUND CARE IMPLANT & COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-787-2402
Mailing Address - Street 1:8018 AURORA AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4350
Mailing Address - Country:US
Mailing Address - Phone:206-258-4207
Mailing Address - Fax:206-258-4217
Practice Address - Street 1:8018 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4350
Practice Address - Country:US
Practice Address - Phone:206-258-4207
Practice Address - Fax:206-258-4217
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARTHA LAKE DENTAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty