NPI | 1053638585 |
---|---|
Doing Business As | SOUTH VIEW FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOSEPH P VILLALUZ Owner 360-567-0296 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008204) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |