| NPI | 1205173457 |
|---|---|
| Doing Business As | DREAM DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM KALOB LESH Owner 360-200-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 60769596) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00007934) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2017-07-21 |