| NPI | 1124837455 |
|---|---|
| Doing Business As | NORTHWEST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VADYM PRASOL Manager 360-440-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |