| NPI | 1164740445 |
|---|---|
| Doing Business As | NORTHWEST DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | J ERIC HANSEN Owner 360-676-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN0000002) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |