| NPI | 1609168756 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CARE OF ZILLAH |
| Entity Type | Organization |
| Authorized Contact | BRENT E MARTIN Doctor/Owner 509-314-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2025-02-05 |