| NPI | 1215295498 |
|---|---|
| Doing Business As | THE DENTAL SHOPPE |
| Entity Type | Organization |
| Authorized Contact | TARA MARIE SULLIVAN Owner 206-829-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010943) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |