NPI | 1194020461 |
---|---|
Doing Business As | DISTINCTIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSEPH ALBERT Dentist 425-771-3266 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2011-01-18 |
Last Update Date | 2011-04-05 |