| NPI | 1639635709 |
|---|---|
| Doing Business As | SPECIALTY DENTURE SERVICE INC |
| Entity Type | Organization |
| Authorized Contact | LORI NEURENE PECHA Licensed Denturist 509-999-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |