| NPI | 1154675064 |
|---|---|
| Doing Business As | PUGET SOUND PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JESSICA R KNIGHT Account Receivable Manager 425-367-4149 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00009918) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2022-04-11 |