| NPI | 1144465428 |
|---|---|
| Doing Business As | SNOQUALMIE VALLEY KIDS DENTIST |
| Entity Type | Organization |
| Authorized Contact | LANETTE MCINTOSH Regional Operations Manager 425-396-1011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00009943) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2020-12-30 |