| NPI | 1629842208 |
|---|---|
| Doing Business As | DR T DENTAL |
| Doing Business As | DR. T DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAWN QUESADA Office Manager 360-357-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |