NPI | 1568781896 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN ROCHELLE MILLER Owner/Dentist 253-272-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 00009348) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |