NPI | 1336427897 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA R KNIGHT Account Receivables Manager 360-659-8100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2011-08-01 |
Last Update Date | 2022-04-11 |