| NPI | 1477854339 |
|---|---|
| Doing Business As | SOUTH SOUND SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANA FRANCHESCA HULTGREN Insurance Manager 360-577-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9942) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |