| NPI | 1164898342 |
|---|---|
| Doing Business As | GERIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMY LINDER Secretary 360-326-3829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |