| NPI | 1104363639 |
|---|---|
| Doing Business As | BONNEY LAKE DENTISTS AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCGLASHAN Owner 253-321-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |