| NPI | 1093268161 | 
|---|---|
| Doing Business As | PLEASANT VALLEY PEDIATRIC DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | KURT TRUONG Owner 360-573-3176  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60299879)  | 
| Enumeration Date | 2016-07-25 | 
| Last Update Date | 2016-07-25 |