| NPI | 1134685589 |
|---|---|
| Doing Business As | FEDERAL WAY CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WAYNE ETNYRE SVOBODA President 253-219-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |