| NPI | 1154081966 |
|---|---|
| Other Name | CLR DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID FLENTGE President/CEO 253-597-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-04-29 |