GREAT WALL CLINIC
NPI 1184952079
Clinic/Center - Dental in Kent, WA

Active since December 03, 2009
18230 E VALLEY HWY, 168, KENT, WA 98032(425) 656-9025 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Wall Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT WALL CLINIC (NPI 1184952079) is a healthcare organization registered as a dental in Kent, Washington and active in the NPI registry since December 2009. The organization lists Ephraim Rollolazo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184952079
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREAT WALL CLINIC
Location Address18230 E VALLEY HWY, 168Kent, WA 98032-1259
Mailing Address18230 E Valley Hwy, 168Kent, WA 98032-1259
Organization SubpartNo
Authorized OfficialEphraim RollolazoOffice Manager · (425) 656-9025
Enumeration DateDecember 3, 2009
NPI 1184952079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in WA · DE00007365
18230 E VALLEY HWY, Kent, WA 98032

Other Identifiers 1

Other5034616WA · Dshs Provider Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
18230 E VALLEY HWY
KENT, WA 98032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Wall Clinic's NPI number?

The NPI number for Great Wall Clinic is 1184952079. It was assigned to this organization in the NPPES registry on December 3, 2009.

Where is Great Wall Clinic located?

Great Wall Clinic is located at 18230 E Valley Hwy 168, Kent, WA 98032. The listed phone number is (425) 656-9025.

What is Great Wall Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Great Wall Clinic was last updated on December 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.