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Great Wall Clinic

Dental Clinic/Center in Kent, WA · enumerated 2009 · authorized official Ephraim Rollolazo, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184952079

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Registry record

Entity type Organization (Type 2)
Legal business name Great Wall Clinic
Practice address 18230 E Valley Hwy, 168, Kent, WA, 98032
Phone (425) 656-9025
Enumeration date Dec 3, 2009
Last updated in NPPES Dec 3, 2009

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License DE00007365 (WA) Primary

Authorized official

Name Ephraim Rollolazo
Title Office Manager
Phone (425) 656-9025

Other identifiers

Identifier Type State Issuer
5034616 Other WA DSHS PROVIDER NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Great Wall Clinic?
Great Wall Clinic is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-03.