| NPI | 1366141855 |
|---|---|
| Doing Business As | PUYALLUP DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID FLENTGE President & CEO 253-597-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |