| NPI | 1114058195 |
|---|---|
| Other Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY LYNNWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | KENNETH M GREEN PT Account Manager 425-789-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 7034036) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-06-13 |