| NPI | 1588927594 |
|---|---|
| Doing Business As | WHIDBEY ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAVID MARK THUET Sole Managing Member 360-720-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE 60270499) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-09-26 |