NPI | 1659724292 |
---|---|
Doing Business As | EASTSIDE ENDODONTICS |
Entity Type | Organization |
Authorized Contact | KRISTI ROSE DONLEY Manager 425-391-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE00010021) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |