NPI | 1629339353 |
---|---|
Doing Business As | TRANQUILITY DENTAL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | LORI A NOGA Owner Dentist 360-529-9968 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00011030) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2012-05-29 |