| NPI | 1275198285 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF BALLARD |
| Entity Type | Organization |
| Authorized Contact | JEFFREY C HSU Owner/Partner, Provider 206-535-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |