NPI | 1376996322 |
---|---|
Doing Business As | SUMMIT FAMILY & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANIBAL LOPEZ Dentist 509-466-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60091762) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2016-07-14 |