NPI | 1396134185 |
---|---|
Doing Business As | DELUNA KIDS DENTAL |
Entity Type | Organization |
Authorized Contact | RACHEL GORMAN Manager 360-735-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60244473) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |