| NPI | 1154646198 |
|---|---|
| Doing Business As | GREENLAKE KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TROY C HULL Owner/Dentist 206-387-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 8614) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |