| NPI | 1316343742 |
|---|---|
| Doing Business As | TALEGA COAST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEAN ROLLOLAZO CEO/Business Manager 206-351-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 54070) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |