NPI | 1639622095 |
---|---|
Doing Business As | BEL-MOD DENTAL |
Entity Type | Organization |
Authorized Contact | GALINA BORODYANSKY Owner 425-644-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA 9423) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2016-08-02 |