| NPI | 1609116656 |
|---|---|
| Doing Business As | MOUNT VERNON PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | HARBINDER S BAL President 360-424-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-12-27 |