| NPI | 1558511923 |
|---|---|
| Doing Business As | ADVENTURE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN ANTHONY HEATON Dentist/Owner 360-604-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010959) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-11-08 |