NPI | 1609481977 |
---|---|
Doing Business As | AVALON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | NGOC DOAN Owner 253-260-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-09-13 |
Last Update Date | 2020-09-13 |