| NPI | 1568912426 |
|---|---|
| Doing Business As | NEW IMAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN BLAKE PERKINS Owner/Dentist 360-604-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00008724) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |