NPI | 1447600507 |
---|---|
Doing Business As | DIBBLE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | PATRICIO RAFAEL DIBBLE Manager/Dentist 253-838-4770 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE60482588) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2016-06-20 |