| NPI | 1114045804 |
|---|---|
| Doing Business As | PUYALLUP VALLEY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LAUREN GIDEON Office Manager 253-841-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 5496) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-27 |