| NPI | 1326268640 |
|---|---|
| Doing Business As | ROOSEVELT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LLOYD DOUGLAS GRAY Owner 206-524-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |