| NPI | 1023412871 |
|---|---|
| Former Legal Business Name | NORTHWEST DENTAL CARE INC |
| Entity Type | Organization |
| Authorized Contact | MEHRAN VAREDI Dentist 205-587-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60473974) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |