| NPI | 1497314819 |
|---|---|
| Doing Business As | BETHEL MIDDLE SCHOOL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID FLENTGE CEO 253-597-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |