| NPI | 1487069647 |
|---|---|
| Former Legal Business Name | MAPLE VALLEY FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS A HOLT Owner 425-413-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010295) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |