| NPI | 1235547175 |
|---|---|
| Other Name | PACIFIC NW DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEAN-PAUL BANH Dentist/Managing Member 253-397-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60475803) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |