| NPI | 1609541648 |
|---|---|
| Doing Business As | KENMORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PRIYA SRIDHAR Dentist 425-485-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |