| NPI | 1144570003 |
|---|---|
| Other Name | SOUTH KITSAP FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN BOCK Administrative Assistant 360-876-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9039) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |