NPI | 1083747729 |
---|---|
Doing Business As | BATTLE GROUND DENTAL |
Entity Type | Organization |
Authorized Contact | WAYNE F TRUSCINSKI Co Owner 360-687-4721 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 06565) |
Additional Taxonomies | 122300000X Dentist (Licence: WA 07426) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2008-07-03 |