| NPI | 1588127104 |
|---|---|
| Doing Business As | WOODLAND PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANNY LEE Dentist 253-486-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |