| NPI | 1043369564 |
|---|---|
| Doing Business As | AVENUE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BABS VIRK Corp Officer 509-370-6953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 9177) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |