| NPI | 1174883169 |
|---|---|
| Other Name | SUNRISE DENTAL OF FEDERAL WAY |
| Entity Type | Organization |
| Authorized Contact | CHAU THI DO Dentist / Owner 253-838-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010309) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00010883) |
| 1223P0300X Dentist, Periodontics (Licence: WA DE00009746) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |