NPI | 1487784013 |
---|---|
Former Legal Business Name | CARL L KNOX DDS |
Entity Type | Organization |
Authorized Contact | CARL LARUE KNOX Owner 253-531-0638 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA 5943) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2008-06-13 |