| NPI | 1528080405 |
|---|---|
| Doing Business As | SMOKEY POINT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEFF ERIC THEIS President 360-659-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE00009909) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-07-27 |