| NPI | 1386082741 |
|---|---|
| Doing Business As | SMILE FOREVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHONG THANH DANG Manager/Dentist 253-588-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60113220) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |