| NPI | 1649827932 |
|---|---|
| Doing Business As | SEQUIM ADVANCED DENTAL |
| Entity Type | Organization |
| Authorized Contact | LYLE SCOTT BROOKSBY President 702-274-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |