| NPI | 1053413591 |
|---|---|
| Doing Business As | ADVANCED DENTAL CONCEPTS |
| Entity Type | Organization |
| Authorized Contact | JACK DENZIL JORGENSEN President 360-892-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00009473) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2020-08-22 |