| NPI | 1578089553 |
|---|---|
| Doing Business As | DENTISTS OF BELLEVUE |
| Entity Type | Organization |
| Authorized Contact | TANISHA JACKSON Owner Dentist 615-280-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-03-09 |