| 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 |