| NPI | 1013675271 |
|---|---|
| Doing Business As | PUYALLUP VALLEY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LEVI REYNOLDS Owner 253-592-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |