| NPI | 1598979866 |
|---|---|
| Doing Business As | SMALL TO TALL PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEBORAH J GOWAN Office Business Manager 360-459-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-01-21 |