| NPI | 1619511284 |
|---|---|
| Other Name | MAPLE VALLEY FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN OCONNELL Office Manager 425-413-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |