| NPI | 1356596811 |
|---|---|
| Doing Business As | PEDIATRIC HOSPITAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHRADHA BANSAL Dentist 425-830-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 602840244) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2013-11-21 |