NPI | 1265873806 |
---|---|
Doing Business As | TRAVELLE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DANIEL PATRICK TRAVELLE Dentist 206-643-3191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60219557) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |