| NPI | 1013463371 |
|---|---|
| Doing Business As | BALLARD PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAMIKO KURIYA Owner/ Dentist 206-747-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE 10425) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |