| NPI | 1366748105 |
|---|---|
| Doing Business As | KENMORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TERI ANNE SHACKELFORD Office Manger 425-485-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7496) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2016-07-21 |