NPI | 1619350857 |
---|---|
Doing Business As | KALM DENTAL SPA |
Entity Type | Organization |
Authorized Contact | BEAU J KELLER Owner 425-760-2704 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE00011082) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ D009161) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |