| NPI | 1346628203 |
|---|---|
| Doing Business As | KALM DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | BEAU J KELLER Owner 425-409-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00011082) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D009161) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |