| NPI | 1124267745 |
|---|---|
| Doing Business As | PENINSULA PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D BROOKS Owner 360-779-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |