| NPI | 1639457468 |
|---|---|
| Doing Business As | YEATES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN HERMANN YEATES Member.Owner 360-855-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE11024) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |