NPI | 1174046684 |
---|---|
Doing Business As | 376 DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | POONAM SOI Owner/General Dentist 206-949-7622 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856498) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2017-07-18 |