| NPI | 1396026209 |
|---|---|
| Doing Business As | DISTINCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEITH MARTIN PHILLIPS Owner 253-922-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2016-01-08 |