| NPI | 1548685373 |
|---|---|
| Doing Business As | KITSAP GENTLE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YOUNG J YOON Owner 360-698-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE60128169) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE60128169) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2016-08-09 |