| NPI | 1326174319 |
|---|---|
| Doing Business As | ST. JOSEPH HEALTH MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 110000498) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-11-03 |