| NPI | 1184413262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HILLYARD Pediatric Dentist 360-604-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |