NPI | 1154874196 |
---|---|
Doing Business As | CALDERON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MONICA CALDERON President 360-546-2695 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008049) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2016-07-26 |