NPI | 1528857208 |
---|---|
Doing Business As | TACOMA PROSTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOSHUA MANCHESTER Owner 406-599-4642 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-05-01 |