| NPI | 1497912968 |
|---|---|
| Doing Business As | PINEVIEW AESTHETIC & FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GANNON BLAKE STAHL Owner 425-649-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00010985) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |