| NPI | 1124703129 |
|---|---|
| Doing Business As | 19TH AVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | YUN MIN KANG Dentist 360-778-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-02-05 |