NPI | 1154862761 |
---|---|
Doing Business As | BELLTOWN MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRIAN R POLILLO Owner 206-494-9050 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-03-15 |
Last Update Date | 2017-04-10 |