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 |