| NPI | 1144776253 |
|---|---|
| Doing Business As | NORTHSIDE PROSTHODONTICS AND FAMILY |
| Entity Type | Organization |
| Authorized Contact | MAX H MOLGARD Owner/Dentist 509-327-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE60547038) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |