| NPI | 1639736119 |
|---|---|
| Other Name | SOUTHCENTER KIDS DENTISTRY |
| Other Name | SOUTHCENTER CHILDRENS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW YEH Member 206-575-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |