| NPI | 1114324795 |
|---|---|
| Doing Business As | PUYALLUP SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN BIENSTOCK Dentist 253-848-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE60386595) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: WA DE60481607) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |