NPI | 1295596112 |
---|---|
Doing Business As | SMILES ON EASTSIDE DENTISTRY |
Entity Type | Organization |
Authorized Contact | ELIZABETH MANCHESTER Owner Dentist 206-802-8414 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-01-18 |
Last Update Date | 2024-01-18 |