NPI | 1619396652 |
---|---|
Other Name | SOUTH HILL CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | CLARA WINONA BRANNAN Pediatric Dentist 253-209-7555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA de00010981) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2014-04-07 |