| NPI | 1306284468 |
|---|---|
| Doing Business As | BOTHELL EVERETT KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TAE RIM YOON Dentist 601-894-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60156209) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |