| NPI | 1164585634 |
|---|---|
| Other Name | SOUTH SOUND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LEVI G GREEN President 360-459-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9986) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00009986) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-04-19 |