| 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 |