| NPI | 1467512988 |
|---|---|
| Former Legal Business Name | GENTLE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | S BRADLEY GILLESPIE President 360-892-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-12-23 |