NPI | 1114358686 |
---|---|
Doing Business As | COLBY PACIFIC FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HEATHER CARRIE EGGENBERGER Owner/Dentist 360-259-4156 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60084768) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2013-12-09 |