NPI | 1023262623 |
---|---|
Doing Business As | REDMOND PARC SQUARE DENTAL |
Entity Type | Organization |
Authorized Contact | GARRICK J LO Owner 206-851-8421 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-11-10 |
Last Update Date | 2023-09-27 |