| NPI | 1467536318 |
|---|---|
| Doing Business As | RAINIER PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN PHAM President 360-740-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6843) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |