| NPI | 1609244110 |
|---|---|
| Doing Business As | JUANITA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHELSEA D'NICHOLE MORTELL Dentist/Owner 425-821-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60287180) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |