| NPI | 1649617861 |
|---|---|
| Doing Business As | APPLE VALLEY DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | DAVID ANGOTTI Finance Director 509-823-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00011197) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60233245) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 60275896) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60220488) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |