| NPI | 1528534849 |
|---|---|
| Former Legal Business Name | DATDENTAL |
| Entity Type | Organization |
| Authorized Contact | TIEN-DAT NGUYEN Doctor 425-486-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |