| NPI | 1568647683 |
|---|---|
| Doing Business As | GERIATRIC DENTAL GROUP OF WA STATE |
| Entity Type | Organization |
| Authorized Contact | AMY T LINDER Director 253-839-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 602676351) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-07-30 |