NPI | 1497248017 |
---|---|
Doing Business As | JUANITA KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | JINJU SONG Owner/Doctor 425-310-8338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60300517) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2018-06-08 |