| NPI | 1194443002 |
|---|---|
| Doing Business As | TOTEM LAKE SMILES |
| Entity Type | Organization |
| Authorized Contact | JOAN KUO Owner 425-247-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |