| NPI | 1619802758 |
|---|---|
| Doing Business As | ELEVEN ELEVEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | ETHAN LIVERMONT Owner/Partner 360-565-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |