| NPI | 1609221068 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF ELLENSBURG |
| Entity Type | Organization |
| Authorized Contact | MELISSA INEZ COSTI Manager 509-925-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60169589) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60512243) |
| 1223G0001X Dentist, General Practice (Licence: WA DE60559041) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-06-08 |