| NPI | 1528756152 |
|---|---|
| Doing Business As | SOUTH BAY PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | EMILY ANNE ROBBINS Office Manager 360-357-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-03-05 |