| NPI | 1194483354 |
|---|---|
| Doing Business As | WOODINVILLE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JESSICA AHN Owner 425-458-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |