| NPI | 1225619984 |
|---|---|
| Doing Business As | ADVANTA DENTAL |
| Doing Business As | OLYMPIC SMILECARE |
| Entity Type | Organization |
| Authorized Contact | JARED DESPAIN Owner 360-565-5066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |