NPI | 1063935823 |
---|---|
Doing Business As | DENTISTRY FOR KIDS |
Entity Type | Organization |
Authorized Contact | CHRISTINE TROTTER Chief Executive Officer 509-865-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 600304660-001-0035) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600304660-001-0035) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2025-03-17 |