| NPI | 1083926778 |
|---|---|
| Doing Business As | EAGLE FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYCE K DUSKIN President 360-435-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60099566) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |