| NPI | 1558416586 |
|---|---|
| Doing Business As | UNIVERSITY PLACE FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PRASITH KIM-AUN President 253-564-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE9156) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE9609) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |