| NPI | 1164062618 |
|---|---|
| Doing Business As | FOOTHILLS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEREMY TODD COLES Member 206-650-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |