NPI | 1568883213 |
---|---|
Doing Business As | PUGET SOUND FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ANDREW BENJAMIN GILBREATH Dentist 206-999-8942 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 11087) |
Enumeration Date | 2013-12-26 |
Last Update Date | 2013-12-26 |