| NPI | 1396792131 |
|---|---|
| Doing Business As | GENTECH DENTIST |
| Entity Type | Organization |
| Authorized Contact | KEVIN BOIE Chief Fiancial Officer 360-571-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-07-23 |