| NPI | 1437765252 |
|---|---|
| Doing Business As | BACKCOUNTRY DENTAL |
| Entity Type | Organization |
| Authorized Contact | HILLARY BERRY Owner Dentist 425-409-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |