| NPI | 1497764070 |
|---|---|
| Doing Business As | POULSBO DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER W THORNTON President 360-799-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA WA4364) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-10-25 |