NPI | 1588110464 |
---|---|
Doing Business As | YAKIMA PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ASHLEY STORMO TERCERO Pediatric Dentist/ Owner 509-834-2004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 00011242) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |