| NPI | 1043503071 |
|---|---|
| Doing Business As | SOUTH RAINIER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAT KHOA NGUYEN Member, Manager 206-721-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE10287) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE10306) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |