| NPI | 1205249810 |
|---|---|
| Doing Business As | SOUTHCENTER MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN S BIENSTOCK Owner 253-395-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |