| NPI | 1649589813 |
|---|---|
| Doing Business As | PRODENTAL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VALERIY BELIY Member 425-673-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 00008313) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |