| NPI | 1598098022 |
|---|---|
| Doing Business As | CORDATA FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | TERRI R ZWEBER Dentist/ Owner 360-708-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 9350) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |