NPI | 1508311762 |
---|---|
Doing Business As | LIGHT DENTAL STUDIOS |
Entity Type | Organization |
Authorized Contact | STEVEN BROUGHTON President 253-848-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE60661826) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2016-08-17 |