| NPI | 1083184790 |
|---|---|
| Doing Business As | SNOHOMISH FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JI WON GWAK Doctor/Owner 310-890-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |