| NPI | 1316469323 |
|---|---|
| Doing Business As | SNOQUALMIE MODERN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHARLES CHANG Owner 425-577-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |