NPI | 1417506049 |
---|---|
Doing Business As | 6TH AVE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DAVID HANNULA President 253-759-5622 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-06 |