| NPI | 1144352246 |
|---|---|
| Doing Business As | PINE LAKE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C ROBERTSON President 425-392-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE8677) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |