| NPI | 1174499818 |
|---|---|
| Doing Business As | NORTHWEST SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | JEREMY PARCO KOONTZ Owner 360-658-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |