| NPI | 1427249580 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CARE OF BONNEY LAKE |
| Entity Type | Organization |
| Authorized Contact | CHUNG LONG HWANG Owner 253-850-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00007299) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |