| NPI | 1427510767 |
|---|---|
| Former Legal Business Name | DENTAL HOME EB5 VII |
| Entity Type | Organization |
| Authorized Contact | FRANK GONG Owner 206-371-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-01-30 |